Provider Demographics
NPI:1043529852
Name:NANCY JEAN NELSON-BOCK, NAN'S VAN SERVICE
Entity type:Organization
Organization Name:NANCY JEAN NELSON-BOCK, NAN'S VAN SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:NELSON-BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-557-8258
Mailing Address - Street 1:40376 710TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55333-1028
Mailing Address - Country:US
Mailing Address - Phone:507-557-8252
Mailing Address - Fax:
Practice Address - Street 1:40376 710TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MN
Practice Address - Zip Code:55333-1028
Practice Address - Country:US
Practice Address - Phone:507-557-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)