MEDICARE: PINNACLE TRANSPORTATION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1215740964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	35 HIGHLAND CIR
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3099
Country	:	US
Telephone Number	:	617-997-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 HIGHLAND CIR
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3099
Country	:	US
Telephone Number	:	617-997-9777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SEEGEY ALEX SOKOLOVSKY
Credential	:
Telephone Number	:	617-997-9777

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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