Provider Demographics
NPI:1689135535
Name:EPHESIAN TRANSPORTATION AND LOGISTICS LLC
Entity Type:Organization
Organization Name:EPHESIAN TRANSPORTATION AND LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KETURAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-445-6206
Mailing Address - Street 1:9604 TEASDALE TER UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-4557
Mailing Address - Country:US
Mailing Address - Phone:608-445-6206
Mailing Address - Fax:
Practice Address - Street 1:9604 TEASDALE TER UNIT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-4557
Practice Address - Country:US
Practice Address - Phone:512-522-0623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle