=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790347607
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NANCETRANS,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2019
-----------------------------------------------------
Last Update Date | 07/01/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 330 BROADWAY ST
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68638-3152
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-536-4145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 343
-----------------------------------------------------
City | FULLERTON
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68638-0343
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-536-4145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | FRANCENE SCHNEIDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 308-536-4145
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------