MEDICARE: M & J TRANSPORTATION SERVICES LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1851843981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & J TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	1025 NEWTOWN RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5492 BULLS BAY DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-1768
Country	:	US
Telephone Number	:	757-202-1419
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES ERICK CHERRY JR.
Credential	:
Telephone Number	:	757-202-1419

Provider Enumeration Date	:	10/24/2016
Last Update Date	:	10/24/2016

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