1841590023 NPI number — PTL TRANSPORTATION SERVICES,LLC

Table of content: JULIE DENESE GESCH M.D. (NPI 1467899187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841590023 NPI number — PTL TRANSPORTATION SERVICES,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PTL TRANSPORTATION SERVICES,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841590023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 STILLWATER DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESAPEAKE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23320-3800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-735-3145
Provider Business Mailing Address Fax Number:
757-277-9241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 STILLWATER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESAPEAKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23320-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-735-3145
Provider Business Practice Location Address Fax Number:
757-277-9241
Provider Enumeration Date:
10/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HAYDEN
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
757-735-3145

Provider Taxonomy Codes

  • Taxonomy code: 343800000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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