National Provider Identifier Database

FULL MOON MEDICAL TRANSPORTATION LLC
Transportation Network Company

A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.


Contact Information

FULL MOON MEDICAL TRANSPORTATION LLC
11424 OLD MOUNTAIN RD
GLEN ALLEN, VA23060-1916
Phone: 804-878-9000
Fax:
Website:
Specialty Taxonomy Code
* Transportation Network Company 342000000X

* Indicates primary specialty

NPI Profile & details for FULL MOON MEDICAL TRANSPORTATION LLC

NPI Number 1639865249
Legal business name
LBN
FULL MOON MEDICAL TRANSPORTATION LLC
Authorized official WOSSEN BELETE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/17/2023
Last updated 04/22/2023 - About 3 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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