Healthcare Provider Details

I. General information

NPI: 1144717893
Provider Name (Legal Business Name): MNZ TRANSPORT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N MAIN ST
DANVILLE VA
24540-3222
US

IV. Provider business mailing address

1901 N MAIN ST
DANVILLE VA
24540-3222
US

V. Phone/Fax

Practice location:
  • Phone: 336-825-4688
  • Fax: 336-323-8000
Mailing address:
  • Phone: 336-825-4688
  • Fax: 336-323-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. ZOHAIR A MOHAMMED
Title or Position: PRESIDENT
Credential:
Phone: 336-825-4688