Organization
SHYNE BRIGHT SERVICES LLC
Active
Other names
Shyne Bright Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD CLAYTON (PRESIDENT)
(651) 795-9256
Entity
Organization
Contact information
Practice address
1611 E 32ND ST, MINNEAPOLIS, MN 55407-1828
(651) 795-9256
Mailing address
1611 E 32ND ST, MINNEAPOLIS, MN 55407-1828
(651) 795-9256
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45882231
—
MN
Enumeration date
09/23/2019
Last updated
09/23/2019
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