Healthcare Provider Details
I. General information
NPI: 1437529096
Provider Name (Legal Business Name): FOLLOWTHATCAB.NET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2015
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4808 PARK GLEN RD
SAINT LOUIS PARK MN
55416-5702
US
IV. Provider business mailing address
4808 PARK GLEN RD
SAINT LOUIS PARK MN
55416-5702
US
V. Phone/Fax
- Phone: 612-729-4243
- Fax: 612-236-0544
- Phone: 612-729-4243
- Fax: 612-236-0544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WALEED
SONBOL
Title or Position: MANAGER
Credential:
Phone: 612-669-7389