Organization
JAB TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT EZELL COLEMAN (PRESIDENT)
(757) 348-3118
Entity
Organization
Contact information
Practice address
4905 S WABASH AVE, CHICAGO, IL 60615-2114
(877) 287-8793
(877) 866-1786
Mailing address
4601 MISTRAL LN, VIRGINIA BEACH, VA 23456-5057
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C455-0657-4120
IL
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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