Healthcare Provider Details

I. General information

NPI: 1306504600
Provider Name (Legal Business Name): JFB TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 WELSH RD APT E1
PHILADELPHIA PA
19115-4729
US

IV. Provider business mailing address

1865 WELSH RD APT E1
PHILADELPHIA PA
19115-4729
US

V. Phone/Fax

Practice location:
  • Phone: 267-212-6789
  • Fax:
Mailing address:
  • Phone: 267-212-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. JULIUS FLOURISH BERRIAN
Title or Position: CEO
Credential: MBA, PSYCHOLOGIST
Phone: 267-212-6789