Provider Demographics
NPI:1235468414
Name:DENG ENTERERPRISES, LLC DBG J & T TRANSPORTATION
Entity Type:Organization
Organization Name:DENG ENTERERPRISES, LLC DBG J & T TRANSPORTATION
Other - Org Name:J & T TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBERS
Authorized Official - Prefix:MR
Authorized Official - First Name:JANY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-751-8096
Mailing Address - Street 1:14851 N 25TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-5083
Mailing Address - Country:US
Mailing Address - Phone:602-751-8096
Mailing Address - Fax:602-262-2310
Practice Address - Street 1:14851 N 25TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-5083
Practice Address - Country:US
Practice Address - Phone:602-751-8096
Practice Address - Fax:602-262-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ472039343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)