Provider Demographics
NPI:1275825895
Name:MUSTARD SEED TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:MUSTARD SEED TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UCHECHUKWU
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:OZOEMELAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-670-6915
Mailing Address - Street 1:1802 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5264
Mailing Address - Country:US
Mailing Address - Phone:337-656-2921
Mailing Address - Fax:337-656-2921
Practice Address - Street 1:1802 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5264
Practice Address - Country:US
Practice Address - Phone:337-656-2921
Practice Address - Fax:337-656-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-15
Last Update Date:2011-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi