Provider Demographics
NPI:1144743964
Name:E & D TRANSPORTATION, INC
Entity type:Organization
Organization Name:E & D TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYNE
Authorized Official - Middle Name:NJWENE
Authorized Official - Last Name:SAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-248-8544
Mailing Address - Street 1:12047 PAPER BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-5201
Mailing Address - Country:US
Mailing Address - Phone:571-248-8544
Mailing Address - Fax:877-813-2618
Practice Address - Street 1:12047 PAPER BIRCH LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-5201
Practice Address - Country:US
Practice Address - Phone:571-248-8544
Practice Address - Fax:877-813-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA30343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)