Healthcare Provider Details

I. General information

NPI: 1043964810
Provider Name (Legal Business Name): MICHAEL AND SONS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2984 BRIAR RIDGE RD # 43232
COLUMBUS OH
43232-5698
US

IV. Provider business mailing address

2984 BRIAR RIDGE RD # 43232
COLUMBUS OH
43232-5698
US

V. Phone/Fax

Practice location:
  • Phone: 614-625-6396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL KWAMINA
Title or Position: OWNER
Credential:
Phone: 614-625-6396