Healthcare Provider Details

I. General information

NPI: 1689362113
Provider Name (Legal Business Name): JPM LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COMMONWEALTH PL STE 2001061
VIRGINIA BEACH VA
23464-4517
US

IV. Provider business mailing address

1024 MAHONE AVE
NORFOLK VA
23523-1445
US

V. Phone/Fax

Practice location:
  • Phone: 757-472-1405
  • Fax:
Mailing address:
  • Phone: 757-793-0146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOHN PAIGE
Title or Position: CEO
Credential:
Phone: 757-793-0146