Provider Demographics
NPI:1356833776
Name:GUTSY TRANSPORTATION, INC
Entity Type:Organization
Organization Name:GUTSY TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-422-6115
Mailing Address - Street 1:2211 WAYNICK ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2403
Mailing Address - Country:US
Mailing Address - Phone:336-422-6115
Mailing Address - Fax:336-875-4359
Practice Address - Street 1:2211 WAYNICK ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2403
Practice Address - Country:US
Practice Address - Phone:336-422-6115
Practice Address - Fax:336-875-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347E00000X
NC156188347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker