Healthcare Provider Details

I. General information

NPI: 1861766073
Provider Name (Legal Business Name): I CARE CAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2012
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S 6TH ST SUITE 1800
MINNEAPOLIS MN
55402-4502
US

IV. Provider business mailing address

220 S 6TH ST SUITE 1800
MINNEAPOLIS MN
55402-4502
US

V. Phone/Fax

Practice location:
  • Phone: 612-226-6400
  • Fax:
Mailing address:
  • Phone: 612-226-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. IBRAHIM ISHAQ YUNIS
Title or Position: PRESIDENT
Credential:
Phone: 612-226-6400