Provider Demographics
NPI:1902276439
Name:PEOPLES SPECIAL TRANSPORTATION,INC
Entity Type:Organization
Organization Name:PEOPLES SPECIAL TRANSPORTATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:BARDAWLUE
Authorized Official - Last Name:DORBOR
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL TRANSPORTATI
Authorized Official - Phone:704-408-2637
Mailing Address - Street 1:3330 PINE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-4422
Mailing Address - Country:US
Mailing Address - Phone:704-408-2637
Mailing Address - Fax:
Practice Address - Street 1:3330 PINE MEADOW DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-4422
Practice Address - Country:US
Practice Address - Phone:704-408-2637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-26
Last Update Date:2015-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0837501343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)