Provider Demographics
NPI:1790289460
Name:JOYCE PANNELL
Entity Type:Organization
Organization Name:JOYCE PANNELL
Other - Org Name:JPZ TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PANNELPL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-710-2620
Mailing Address - Street 1:1026 ASKIN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-4114
Mailing Address - Country:US
Mailing Address - Phone:434-710-2620
Mailing Address - Fax:
Practice Address - Street 1:1026 ASKIN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-4114
Practice Address - Country:US
Practice Address - Phone:434-710-2620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)