Provider Demographics
NPI:1902065360
Name:A-TRAN, LLC
Entity Type:Organization
Organization Name:A-TRAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHODEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-260-0781
Mailing Address - Street 1:2930 146TH ST W
Mailing Address - Street 2:APT # 307
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-3189
Mailing Address - Country:US
Mailing Address - Phone:651-260-0781
Mailing Address - Fax:651-454-8062
Practice Address - Street 1:2930 146TH ST W
Practice Address - Street 2:APT # 307
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-3189
Practice Address - Country:US
Practice Address - Phone:651-260-0781
Practice Address - Fax:651-454-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374584343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)