Organization
NICHOLAS ONEAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FAIN (CFO)
(469) 767-2417
Entity
Organization
Contact information
Practice address
3225 EMERALD LN STE A, JEFFERSON CITY, MO 65109-6869
(469) 767-2417
Mailing address
1511 DREAMA DR, DESOTO, TX 75115-6615
(469) 767-2417
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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