Mabon, James Alvin
Mabon, James Alvin is an sole proprietor health care provider with primary practice located at 3914 Point Church Rd , Memphis TN 38127-4945. He recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Mabon, James Alvin can be contacted via phone (901) 240-4072.Contact Information
Primary practice address
3914 Point Church Rd
Memphis TN 38127-4945
Phone: (901) 240-4072
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | ||
Transportation Services / Private Vehicle | 347C00000X |
Profile Details
NPI number | 1831400142 |
---|---|
LBN Legal business name | Mabon, James Alvin |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2010 |
Last updated | Jul 1st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831400142 | NPPES |
Tennessee | MEDICAID | PENDING |
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