Provider Demographics
NPI:1376273763
Name:8 TWELVE TRANSPO LLC
Entity Type:Organization
Organization Name:8 TWELVE TRANSPO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-224-6171
Mailing Address - Street 1:40375 CREEKWAY COVE CT
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-6891
Mailing Address - Country:US
Mailing Address - Phone:985-224-6171
Mailing Address - Fax:
Practice Address - Street 1:40375 CREEKWAY COVE CT
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-6891
Practice Address - Country:US
Practice Address - Phone:985-224-6171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company