1831503648 NPI number — HANDICAB MOBILITY SERVICES LLC.

Table of content: DR. DANIEL FRANCIS MCLAUGHLIN M.D. (NPI 1689693442)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831503648 NPI number — HANDICAB MOBILITY SERVICES LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDICAB MOBILITY SERVICES LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831503648
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6726 IRIS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EXCELSIOR
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55331-8203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-737-7628
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6726 IRIS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EXCELSIOR
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55331-8203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-737-7628
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2014

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDSON
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
AARON
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
952-737-7628

Provider Taxonomy Codes

  • Taxonomy code: 344600000X , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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