Provider Demographics
NPI:1154196038
Name:ITSTHETRUCKINGFORME
Entity type:Organization
Organization Name:ITSTHETRUCKINGFORME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SINDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-243-3482
Mailing Address - Street 1:960 LOMBARD ST APT 106
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-5322
Mailing Address - Country:US
Mailing Address - Phone:201-243-3482
Mailing Address - Fax:201-243-3482
Practice Address - Street 1:960 LOMBARD ST APT 106
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-5322
Practice Address - Country:US
Practice Address - Phone:201-243-3482
Practice Address - Fax:201-243-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty