Healthcare Provider Details

I. General information

NPI: 1104554344
Provider Name (Legal Business Name): 2DN TRANSPORT & AUTO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 08/14/2022
Certification Date: 08/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 NORRIS LN
ROANOKE RAPIDS NC
27870-9440
US

IV. Provider business mailing address

45 NORRIS LN
ROANOKE RAPIDS NC
27870-9440
US

V. Phone/Fax

Practice location:
  • Phone: 252-301-0741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVA THORNE
Title or Position: OWNER
Credential:
Phone: 252-301-0741