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1336542505 NPI number — JAY'S TRANSPORT 247

NPI Number: 1336542505
Health Care Provider/Practitioner: JAY'S TRANSPORT 247

Information about “1336542505” NPI (JAY'S TRANSPORT 247) exists in 1336542505 in HTML format HTML  |  1336542505 in plain Text format TXT  |  1336542505 in PDF (Portable Document Format) PDF  |  1336542505 in an XML format XML  formats.

NPI Number : 1336542505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336542505",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JAY'S TRANSPORT 247",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2035 HOGBACK RD",
    "SecondLineMailingAddress": "103",
    "MailingAddressCityName": "ANN ARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48105-9732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-646-8846",
    "MailingAddressFaxNumber": "734-477-8001",
    "FirstLinePracticeLocationAddress": "2035 HOGBACK RD",
    "SecondLinePracticeLocationAddress": "103",
    "PracticeLocationAddressCityName": "ANN ARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48105-9732",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-646-8846",
    "PracticeLocationAddressFaxNumber": "734-477-8001",
    "EnumerationDate": "10/02/2014",
    "LastUpdateDate": "10/02/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GILLESPIE",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": "JAY",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BS",
    "AuthorizedOfficialTelephoneNumber": "734-646-8846",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343800000X",
          "TaxonomyName": "Secured Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "344600000X",
          "TaxonomyName": "Taxi",
          "LicenseNumber": "G421887379396",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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