National Provider Identifier Database

FIRST MEDIVAN LLC
Private Vehicle

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


Contact Information

FIRST MEDIVAN LLC
8800 S STATE ROAD 109
MARKLEVILLE, IN46056-9783
Phone: 765-623-4887
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for FIRST MEDIVAN LLC

NPI Number 1720368848
Legal business name
LBN
FIRST MEDIVAN LLC
Authorized official MARK MOTSINGER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/20/2011
Last updated 08/20/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 0030-11-8625

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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