Provider Demographics
NPI:1538799556
Name:HUMBLE INNOVATIVE TRANSPORTATION LLC
Entity type:Organization
Organization Name:HUMBLE INNOVATIVE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THEOGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSANZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-235-4441
Mailing Address - Street 1:1308 W OLDHAM AVE APT 284
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-3437
Mailing Address - Country:US
Mailing Address - Phone:865-235-4441
Mailing Address - Fax:
Practice Address - Street 1:1308 W OLDHAM AVE APT 284
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-3437
Practice Address - Country:US
Practice Address - Phone:865-235-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle