Organization
I TRANSPORT NEMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY A DAVIDSON (OWNER)
(812) 406-6041
Entity
Organization
Contact information
Practice address
2410 WOOD DUCK PL, JEFFERSONVILLE, IN 47130-7480
(812) 406-6041
Mailing address
2410 WOOD DUCK PL, JEFFERSONVILLE, IN 47130-7480
(812) 406-6041
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1760-04-2035
IN
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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