Provider Demographics
NPI:1144694456
Name:OSELANE TRANSPORTATION LLC
Entity type:Organization
Organization Name:OSELANE TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:ADJAH
Authorized Official - Last Name:LANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-207-7420
Mailing Address - Street 1:12501 PORTLAND AVE #201
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337
Mailing Address - Country:US
Mailing Address - Phone:651-207-7420
Mailing Address - Fax:952-378-1197
Practice Address - Street 1:12501 PORTLAND AVE APT 201
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-7541
Practice Address - Country:US
Practice Address - Phone:651-207-7420
Practice Address - Fax:952-378-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN381419347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker