Provider Demographics
NPI:1033776877
Name:JDE PLATINUM MARKETING LLC
Entity Type:Organization
Organization Name:JDE PLATINUM MARKETING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DAKOTA
Authorized Official - Last Name:ERNST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-771-7737
Mailing Address - Street 1:26000 US ROUTE 11 # 283
Mailing Address - Street 2:
Mailing Address - City:EVANS MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13637-3320
Mailing Address - Country:US
Mailing Address - Phone:315-771-7737
Mailing Address - Fax:
Practice Address - Street 1:26035 COUNTY ROUTE 3
Practice Address - Street 2:
Practice Address - City:PLESSIS
Practice Address - State:NY
Practice Address - Zip Code:13675-2108
Practice Address - Country:US
Practice Address - Phone:315-771-7731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04796145OtherNEMT