Provider Demographics
NPI:1023648367
Name:NIGHT MOONLIGHT TRANSPORTATION INC
Entity type:Organization
Organization Name:NIGHT MOONLIGHT TRANSPORTATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREIQEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-401-0011
Mailing Address - Street 1:1822 BENNIGAN DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8257
Mailing Address - Country:US
Mailing Address - Phone:614-401-0011
Mailing Address - Fax:
Practice Address - Street 1:1822 BENNIGAN DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7678
Practice Address - Country:US
Practice Address - Phone:614-401-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker