Healthcare Provider Details

I. General information

NPI: 1982166906
Provider Name (Legal Business Name): JNZ TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W MONROE ST STE G300A
JACKSON MI
49202-2079
US

IV. Provider business mailing address

950 W MONROE ST STE G300A
JACKSON MI
49202-2079
US

V. Phone/Fax

Practice location:
  • Phone: 517-879-0978
  • Fax: 517-962-2592
Mailing address:
  • Phone: 517-879-0978
  • Fax: 517-962-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS W BENNETT
Title or Position: CEO
Credential: NEMT
Phone: 517-879-0978