Provider Demographics
NPI:1174233415
Name:D & J TRANSPORT LLC
Entity type:Organization
Organization Name:D & J TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DHERGANE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-514-3975
Mailing Address - Street 1:3854 UPTON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4532
Mailing Address - Country:US
Mailing Address - Phone:419-514-3975
Mailing Address - Fax:419-214-0180
Practice Address - Street 1:3854 UPTON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4532
Practice Address - Country:US
Practice Address - Phone:419-514-3975
Practice Address - Fax:419-214-0180
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D & J TRANSPORT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi