Healthcare Provider Details

I. General information

NPI: 1417555475
Provider Name (Legal Business Name): PAAZUL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 WARREN ST STE 198
DAYTON OH
45402-2808
US

IV. Provider business mailing address

436 WARREN ST STE 198
DAYTON OH
45402-2808
US

V. Phone/Fax

Practice location:
  • Phone: 937-361-6471
  • Fax:
Mailing address:
  • Phone: 937-361-6471
  • 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 Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DORIS PULLIAM
Title or Position: MANAGER
Credential:
Phone: 937-361-6471