Provider Demographics
NPI:1275341273
Name:GBEE, ELVINA MINAIDA (CEO)
Entity type:Individual
Prefix:MS
First Name:ELVINA
Middle Name:MINAIDA
Last Name:GBEE
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1300
Mailing Address - Country:US
Mailing Address - Phone:267-230-1753
Mailing Address - Fax:
Practice Address - Street 1:8045 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1300
Practice Address - Country:US
Practice Address - Phone:267-230-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE921822720343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)