Provider Demographics
NPI:1366935611
Name:CORE TRANSPORTATION, LLC
Entity type:Organization
Organization Name:CORE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BISMARCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-589-3050
Mailing Address - Street 1:9935 BROADSWORD DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2610
Mailing Address - Country:US
Mailing Address - Phone:703-589-3050
Mailing Address - Fax:703-589-3050
Practice Address - Street 1:9935 BROADSWORD DR
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-2610
Practice Address - Country:US
Practice Address - Phone:703-589-3050
Practice Address - Fax:703-589-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVWK3385347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle