Provider Demographics
NPI:1457941114
Name:IKOR TRANSPORT, LLC
Entity Type:Organization
Organization Name:IKOR TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/PNC
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:M
Authorized Official - Last Name:PLAUGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-806-9729
Mailing Address - Street 1:690 BERKMAR CIR STE 311
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1464
Mailing Address - Country:US
Mailing Address - Phone:434-202-8887
Mailing Address - Fax:
Practice Address - Street 1:690 BERKMAR CIR STE 311
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1464
Practice Address - Country:US
Practice Address - Phone:434-202-8887
Practice Address - Fax:888-987-7813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty