Provider Demographics
NPI:1073383741
Name:AMERICAN AFFILIATES TRUCKING ASSOCIATION LLC
Entity Type:Organization
Organization Name:AMERICAN AFFILIATES TRUCKING ASSOCIATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MID ATLANTIC
Authorized Official - Middle Name:
Authorized Official - Last Name:INVESTMENT ENTERPRISE INC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-675-3395
Mailing Address - Street 1:PO BOX 6131
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-0131
Mailing Address - Country:US
Mailing Address - Phone:757-675-3395
Mailing Address - Fax:
Practice Address - Street 1:324 W 27TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1318
Practice Address - Country:US
Practice Address - Phone:757-675-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker