National Provider Identifier Database

EVERGREEN TRANSPORTLLC
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

EVERGREEN TRANSPORT;LLC
680 AMBOY AVE
WOODBRIDGE TOWNSHIP, NJ07095-3120
Phone: 732-207-5893
Fax: 732-777-1449
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for EVERGREEN TRANSPORT;LLC

NPI Number 1295366789
Legal business name
LBN
EVERGREEN TRANSPORT;LLC
Authorized official WAHID SHIBLI - (MANAGER ADMIN)
Entity Organization
Organization subpart No
Enumeration date 02/03/2020
Last updated 02/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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