Provider Demographics
NPI:1306494166
Name:MICHEL TRANSPORTATION LLC
Entity type:Organization
Organization Name:MICHEL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:BECKEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:754-779-1951
Mailing Address - Street 1:4880 51ST ST W APT 1101
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-5132
Mailing Address - Country:US
Mailing Address - Phone:754-779-1951
Mailing Address - Fax:
Practice Address - Street 1:4880 51ST ST W APT 1101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-5132
Practice Address - Country:US
Practice Address - Phone:754-779-1951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker