Provider Demographics
NPI:1942515341
Name:GUARANTEED TRANSPORTATION PROVIDERS INCORPORATION
Entity Type:Organization
Organization Name:GUARANTEED TRANSPORTATION PROVIDERS INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-288-2000
Mailing Address - Street 1:601 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-1443
Mailing Address - Country:US
Mailing Address - Phone:574-288-2000
Mailing Address - Fax:
Practice Address - Street 1:601 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1443
Practice Address - Country:US
Practice Address - Phone:574-288-2000
Practice Address - Fax:574-288-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle