Jacob Ediba
Jacob Ediba is a Non-emergency Medical Transport (VAN) in Rantoul, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
273 Keystone Dr Apt 5Rantoul, IL 61866-2774
Phone: (217) 418-7384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence MCS-10-0005-0464R1 (IL) |
|---|
Record details
| NPI number | 1871950782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2016 |
| Last updated in NPPES | November 30, 2016 |
| Mailing address | 273 Keystone Dr Apt 5, Rantoul, IL 61866-2774 |