Provider Demographics
NPI:1679329825
Name:SJ LOGISTICS
Entity type:Organization
Organization Name:SJ LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-204-6325
Mailing Address - Street 1:313 N PLANKINTON AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-3104
Mailing Address - Country:US
Mailing Address - Phone:414-209-5479
Mailing Address - Fax:414-414-0210
Practice Address - Street 1:313 N PLANKINTON AVE STE 207
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-3104
Practice Address - Country:US
Practice Address - Phone:414-209-5479
Practice Address - Fax:414-414-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)