Provider Demographics
NPI:1063115699
Name:JOSEPH&MARY MEDICAL TRANSPORT COMPANY
Entity type:Organization
Organization Name:JOSEPH&MARY MEDICAL TRANSPORT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:SAKAWA
Authorized Official - Last Name:NYASAKA
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS OWNER/
Authorized Official - Phone:703-989-1528
Mailing Address - Street 1:9888 EARLS FERRY CIR
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2686
Mailing Address - Country:US
Mailing Address - Phone:703-989-1528
Mailing Address - Fax:919-617-6510
Practice Address - Street 1:9888 EARLS FERRY CIR
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-2686
Practice Address - Country:US
Practice Address - Phone:703-989-1528
Practice Address - Fax:919-617-6510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:7039891528
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)