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NPI Code Detail

MEDICARE: TRANSPORTATION AT EASE LLC

MEDICARE: TRANSPORTATION AT EASE 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
1347E00000XTransportation Broker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1259623OTHERMIAAA
2020-0002086-1990OTHERMIAUTO OWNERS INSURANCE

General Provider Information

NPI Number : 1881283331
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSPORTATION AT EASE LLC
Provider Business Mailing Address
First Line : PO BOX 441
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-0441
Country : US
Telephone Number : 810-224-1764
Fax Number :
Provider Business Practice Location Address
First Line : 7587 SMAIL DR
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-8101
Country : US
Telephone Number : 810-224-1764
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHANA L. SMAIL
Credential :
Telephone Number : 810-224-1764
Provider Enumeration Date : 01/11/2021
Last Update Date : 02/09/2024

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Directions to “TRANSPORTATION AT EASE LLC ” Practice Location

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