Provider Demographics
NPI:1467948968
Name:J & J FEDELITY TRANSPORT SERVICES
Entity Type:Organization
Organization Name:J & J FEDELITY TRANSPORT SERVICES
Other - Org Name:J & J FEDELITY TRANSPORT SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NA
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-207-1545
Mailing Address - Street 1:722 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-9609
Mailing Address - Country:US
Mailing Address - Phone:662-207-1545
Mailing Address - Fax:
Practice Address - Street 1:722 FRENCH RD
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751-9609
Practice Address - Country:US
Practice Address - Phone:662-207-1545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & J FEDELITY TRANSPORT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty