Healthcare Provider Details

I. General information

NPI: 1093152472
Provider Name (Legal Business Name): OZLAND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2013
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W 29TH ST
INDIANAPOLIS IN
46222-2226
US

IV. Provider business mailing address

2801 W 29TH ST
INDIANAPOLIS IN
46222-2226
US

V. Phone/Fax

Practice location:
  • Phone: 866-850-6671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2150024021
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number2150024021
License Number StateIN

VIII. Authorized Official

Name: CARMEN GRAVES-OSBORN
Title or Position: OWNER
Credential:
Phone: 866-850-6671