Healthcare Provider Details
I. General information
NPI: 1306241716
Provider Name (Legal Business Name): SOLIEL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2014
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7700 THOMASVILLE BUILDING 9, APT F
ST THOMAS VI
00802-2510
US
IV. Provider business mailing address
6501 RED HOOK PLZ SUITE 201
ST THOMAS VI
00802-1373
US
V. Phone/Fax
- Phone: 340-998-4478
- Fax:
- Phone: 340-998-4478
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 1183411L |
| License Number State | VI |
VIII. Authorized Official
Name: MS.
JUDY
BEAUSOLIEL
Title or Position: OWNER
Credential: NATL REGADVANCED/EMT
Phone: 340-998-4478