Jab Transportation Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C455-0657-4120 Issued in IL

Legal business name

JAB TRANSPORTATION INC.

Practice address

4905 S Wabash Ave
Chicago, IL 60615-2114

Phone

(877) 287-8793

Fax

(877) 866-1786

NPI assigned

Apr 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryant Ezell Coleman

Title

President

Phone

(757) 348-3118

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1952575912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MISTRAL LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234565057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152114",
            "telephone_number": "877-287-8793",
            "fax_number": "877-866-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAB TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "EZELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-348-3118"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "C455-0657-4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Chicago, IL
• Providers in Chicago, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.