Provider Demographics
NPI:1396476453
Name:JACOBS TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:JACOBS TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEWEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:803-587-9468
Mailing Address - Street 1:489 DENMAN LOOP
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7050
Mailing Address - Country:US
Mailing Address - Phone:803-561-6633
Mailing Address - Fax:803-753-9545
Practice Address - Street 1:489 DENMAN LOOP
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7050
Practice Address - Country:US
Practice Address - Phone:803-561-6633
Practice Address - Fax:803-753-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker