Provider Demographics
NPI:1750080248
Name:E.J. COREMAN AND SONS TRANSPORTATION, LLC
Entity type:Organization
Organization Name:E.J. COREMAN AND SONS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT / MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:FAUCONIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-988-7629
Mailing Address - Street 1:13926 HULL STREET ROAD, PMB 1033
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2004
Mailing Address - Country:US
Mailing Address - Phone:804-988-7629
Mailing Address - Fax:
Practice Address - Street 1:7800 BEACH RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-6227
Practice Address - Country:US
Practice Address - Phone:973-901-6481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty