Provider Demographics
NPI:1063932507
Name:AERO SHUTTLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:AERO SHUTTLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:DURANT
Authorized Official - Last Name:WATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-377-6178
Mailing Address - Street 1:705 NICOLE PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-4632
Mailing Address - Country:US
Mailing Address - Phone:757-223-5151
Mailing Address - Fax:757-592-9090
Practice Address - Street 1:68 HITCHENS LN
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2556
Practice Address - Country:US
Practice Address - Phone:757-223-5151
Practice Address - Fax:757-592-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi