=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366946469
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A 2 Z BUSINESS SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2018
-----------------------------------------------------
Last Update Date | 03/22/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3907 HEARNE AVE
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71103-4371
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-635-6568
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3907 HEARNE AVE
-----------------------------------------------------
City | SHREVEPORT
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71103-4371
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-635-6568
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | VALERIE TISBY-TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 318-208-6726
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------