Provider Demographics
NPI:1487101986
Name:DOLL'S MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:DOLL'S MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:YOUNGER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-441-7614
Mailing Address - Street 1:2144 MARION RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-4270
Mailing Address - Country:US
Mailing Address - Phone:434-441-7614
Mailing Address - Fax:434-432-0879
Practice Address - Street 1:114 CLEMENTS STREET
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-4270
Practice Address - Country:US
Practice Address - Phone:434-421-2764
Practice Address - Fax:434-432-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT60207253343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)