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Esam Ibrahim
Non-emergency Medical Transport (VAN) in Jackson, Tennessee
NPI 1316322159

Esam Ibrahim is a Non-emergency Medical Transport (VAN) based in Jackson, TN. Esam Ibrahim practices in Jackson, TN. The NPI Number for Esam Ibrahim is 1316322159 and holds a License No. 2016 84394 (Tennessee).

The current practice location address for Esam Ibrahim is 2021 N.highland Ave, Jackson, TN and can be reached out via phone at 615-506-9028.

Location: 2021 N.highland Ave, Jackson, TN, 38305-4918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316322159
Provider Name
Esam Ibrahim
Credential
Provider Entity Type
Individual
Gender
Male
Address
2021 N.highland Ave, Jackson, TN, 38305-4918
Phone Number
615-506-9028
Fax Number
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2021 N.highland Ave
City
Jackson
State
Tennessee
Zip
38305
Phone Number
615-506-9028
Fax Number
person
Provider Business Mailing Address Details
Address
2021 N.highland Ave
City
Jackson
State
Tennessee
Zip
38305
Phone Number
615-506-9028
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
2016 84394 (Tennessee)
Definition
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.
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