Provider Demographics
NPI:1861378051
Name:WISE WHEELER TRANSPORT LLC
Entity type:Organization
Organization Name:WISE WHEELER TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACYAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-276-5137
Mailing Address - Street 1:165 PASSAIC AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-3526
Mailing Address - Country:US
Mailing Address - Phone:862-276-5137
Mailing Address - Fax:
Practice Address - Street 1:165 PASSAIC AVE STE 205
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-3526
Practice Address - Country:US
Practice Address - Phone:862-276-5137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company