Provider Demographics
NPI:1053571265
Name:I GOTCHA TRANSPORATION
Entity type:Organization
Organization Name:I GOTCHA TRANSPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-339-6774
Mailing Address - Street 1:4005 E OLD SPANISH TRL APT B7
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3354
Mailing Address - Country:US
Mailing Address - Phone:337-339-6774
Mailing Address - Fax:
Practice Address - Street 1:4005 E OLD SPANISH TRL APT B7
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3354
Practice Address - Country:US
Practice Address - Phone:337-339-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)