Provider Demographics
NPI:1720651532
Name:FIELDS TRANSPORTATION LLC
Entity type:Organization
Organization Name:FIELDS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-549-7863
Mailing Address - Street 1:PO BOX 1002
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-1002
Mailing Address - Country:US
Mailing Address - Phone:336-549-7863
Mailing Address - Fax:804-234-8797
Practice Address - Street 1:11000 DYLANS WALK RD APT 203
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7876
Practice Address - Country:US
Practice Address - Phone:336-549-7896
Practice Address - Fax:804-234-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker