Individual provider · Type 1 NPI
Jacob Ediba
Non-emergency Medical Transport (VAN) · Rantoul, IL
NPI number
1871950782
Active
Practice location
273 Keystone Dr Apt 5
Rantoul, IL 61866-2774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) Primary | 343900000X | MCS-10-0005-0464R1 (IL) |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
About NPI 1871950782
Jacob Ediba's National Provider Identifier is 1871950782, issued on Jan 22, 2016. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Rantoul, IL. The record was last updated on Nov 30, 2016.