Healthcare Provider Details
I. General information
NPI: 1740152214
Provider Name (Legal Business Name): MVP TRANSPORTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
54 DEBRUEN LN
FREDERICKSBURG VA
22405-2690
US
IV. Provider business mailing address
54 DEBRUEN LN
FREDERICKSBURG VA
22405-2690
US
V. Phone/Fax
- Phone: 540-848-1850
- Fax:
- Phone: 540-848-1850
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWARD
A
BANKS
Title or Position: OWNER/ OPERATOR
Credential:
Phone: 540-848-1850