Provider Demographics
NPI: | 1851842215 |
---|---|
Name: | UPRISING COURIER LOGISTIC AND MEDICAL TRANSPORTATION |
Entity Type: | Organization |
Organization Name: | UPRISING COURIER LOGISTIC AND MEDICAL TRANSPORTATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | ABDUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BOCKARIE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 614-296-1726 |
Mailing Address - Street 1: | 5900 ROCHE DR # LL20 |
Mailing Address - Street 2: | |
Mailing Address - City: | COLUMBUS |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43229-3272 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-296-1726 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5900 ROCHE RD LL20 |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBUS |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43229 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-296-1726 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-10-20 |
Last Update Date: | 2016-10-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 172A00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 172A00000X | Other Service Providers | Driver | Group - Multi-Specialty |