Marquis Shantel Ham
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Long Island, VA
NPI 1447775606 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1447775606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 6421 Straightstone Rd
Long Island, VA 24569-2839 - Phone
- (434) 713-1738
- Fax
- (434) 299-3002
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | VA | Yes |
Addresses
Primary practice location
6421 Straightstone Rd
Long Island, VA 24569-2839
Mailing address
6421 Straightstone Rd
Long Island, VA 24569-2839
Phone (434) 713-1738
Other providers in Long Island, VA
All providers in Long Island, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.