Provider Demographics
NPI:1306654777
Name:MAGIC 9 TRUCKING LLC
Entity type:Organization
Organization Name:MAGIC 9 TRUCKING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAINELL
Authorized Official - Middle Name:P
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-668-9923
Mailing Address - Street 1:4657 REFUGEE RD APT 2J
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5750
Mailing Address - Country:US
Mailing Address - Phone:614-668-9923
Mailing Address - Fax:
Practice Address - Street 1:4657 REFUGEE RD APT 2J
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5750
Practice Address - Country:US
Practice Address - Phone:614-668-9923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAGICNINETRANSPORTATION-NM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)