Healthcare Provider Details

I. General information

NPI: 1972984417
Provider Name (Legal Business Name): UNCLE SAM TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 ALLEN DR
WINCHESTER VA
22601-5831
US

IV. Provider business mailing address

1031 ALLEN DR
WINCHESTER VA
22601-5831
US

V. Phone/Fax

Practice location:
  • Phone: 703-980-5511
  • Fax:
Mailing address:
  • Phone: 703-980-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateVA

VIII. Authorized Official

Name: SALIM SAYEGH
Title or Position: OWNER
Credential:
Phone: 703-980-5511