EVERGREEN TRANSPORT;LLC NPI 1295366789

NPI Information

NPI: 1295366789
Provider Name: EVERGREEN TRANSPORT;LLC
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
680 AMBOY AVE
WOODBRIDGE, NJ
ZIP 07095
Phone: (732) 207-5893
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EVERGREEN TRANSPORT;LLC is a private vehicle in Woodbridge, NJ. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. EVERGREEN TRANSPORT;LLC NPI is 1295366789. The provider is registered as an organization entity type.

The provider's business location address is:

680 AMBOY AVE
WOODBRIDGE, NJ
ZIP 07095-120
Phone: (732) 207-5893
Fax: (732) 777-1449

The provider's authorized official is Wahid S Shibli .
The authorized official title is Manager Admin and has the following contact phone number (732) 207-5893.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 2/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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