Healthcare Provider Details

I. General information

NPI: 1356871941
Provider Name (Legal Business Name): TAMIKA BAINES TRANSPORTATION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAR'KHI HELP & HAND TRANSPORTATION TRANSPORTATION

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19939 INDIANA
DETROIT MI
48221
US

IV. Provider business mailing address

19939 INDIANA ST
DETROIT MI
48221-1108
US

V. Phone/Fax

Practice location:
  • Phone: 313-492-1286
  • Fax:
Mailing address:
  • Phone: 313-492-1286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: