Provider Demographics
NPI:1063459816
Name:PROMOBILE TRANSPORTATION, INC.
Entity type:Organization
Organization Name:PROMOBILE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:STOJAN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:MARION
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:215-396-9533
Mailing Address - Street 1:410 W STREET RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FEASTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-5900
Mailing Address - Country:US
Mailing Address - Phone:215-396-9533
Mailing Address - Fax:215-396-9534
Practice Address - Street 1:410 W STREET RD
Practice Address - Street 2:SUITE 201
Practice Address - City:FEASTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:19053-5900
Practice Address - Country:US
Practice Address - Phone:215-396-9533
Practice Address - Fax:215-396-9534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06086341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance