Healthcare Provider Details

I. General information

NPI: 1972372357
Provider Name (Legal Business Name): JSE TRANSPORTATION SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/27/2023
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 KYLE AVE
COLUMBUS OH
43207-4260
US

IV. Provider business mailing address

976 KYLE AVE
COLUMBUS OH
43207-4260
US

V. Phone/Fax

Practice location:
  • Phone: 614-963-1150
  • Fax:
Mailing address:
  • Phone: 614-963-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KARON A HAMILTON
Title or Position: OWNER
Credential: DO
Phone: 614-963-1150