Provider Demographics
NPI:1851070239
Name:PICKENS & ELLERSON LOGISTICS LLC
Entity Type:Organization
Organization Name:PICKENS & ELLERSON LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PICKENS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:614-286-2201
Mailing Address - Street 1:3443 AGLER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3385
Mailing Address - Country:US
Mailing Address - Phone:614-286-2201
Mailing Address - Fax:
Practice Address - Street 1:3443 AGLER RD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3385
Practice Address - Country:US
Practice Address - Phone:614-286-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)