Provider Demographics
NPI:1386113579
Name:757 TRANSPORT LLC
Entity type:Organization
Organization Name:757 TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-935-7759
Mailing Address - Street 1:3848 MEADOWBROOK CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-2106
Mailing Address - Country:US
Mailing Address - Phone:757-935-7759
Mailing Address - Fax:757-463-3500
Practice Address - Street 1:3848 MEADOWBROOK CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-2106
Practice Address - Country:US
Practice Address - Phone:757-935-7759
Practice Address - Fax:757-463-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)