Provider Demographics
NPI:1447866678
Name:UPFRONT ACCESS L.L.C
Entity type:Organization
Organization Name:UPFRONT ACCESS L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-535-9352
Mailing Address - Street 1:10076 PORTSMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-8011
Mailing Address - Country:US
Mailing Address - Phone:571-535-9352
Mailing Address - Fax:
Practice Address - Street 1:10076 PORTSMOUTH RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-8011
Practice Address - Country:US
Practice Address - Phone:571-535-9352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)