Healthcare Provider Details

I. General information

NPI: 1710800875
Provider Name (Legal Business Name): BUCKEYE RELIABLE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FOOTLOOSE DR
COLUMBUS OH
43231-8813
US

IV. Provider business mailing address

2949 FOOTLOOSE DR
COLUMBUS OH
43231-8813
US

V. Phone/Fax

Practice location:
  • Phone: 619-272-1790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: YAHYE HUSSEIN
Title or Position: OWNER
Credential:
Phone: 619-272-1790