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NPI Code Detail

MEDICARE: LACEY COURIER AND TRANSPORTATION CO, INC

MEDICARE: LACEY COURIER AND TRANSPORTATION CO, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1344600000XOTHERNJNPPES

General Provider Information

NPI Number : 1588896856
Entity Type Code : Organization
Provider Name (Legal Business Name) : LACEY COURIER AND TRANSPORTATION CO, INC
Provider Business Mailing Address
First Line : PO BOX 169
Second Line :
City : FORKED RIVER
State : NJ
Zip : 08731-0169
Country : US
Telephone Number : 609-693-2939
Fax Number : 609-693-9620
Provider Business Practice Location Address
First Line : 133 S MAIN ST
Second Line : SUITE D
City : FORKED RIVER
State : NJ
Zip : 08731-3624
Country : US
Telephone Number : 609-693-2939
Fax Number : 609-693-9260
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY C MCELWEE
Credential :
Telephone Number : 609-693-2939
Provider Enumeration Date : 08/19/2009
Last Update Date : 11/07/2016

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