Healthcare Provider Details

I. General information

NPI: 1154851566
Provider Name (Legal Business Name): AIRPORT TAXI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 06/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 AIR EXPRESS RD
RICHMOND VA
23250-2420
US

IV. Provider business mailing address

5250 AIR EXPRESS RD
RICHMOND VA
23250-2420
US

V. Phone/Fax

Practice location:
  • Phone: 804-222-6666
  • Fax: 804-222-4448
Mailing address:
  • Phone: 804-222-6666
  • Fax: 804-222-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License NumberAO3065003
License Number StateVA

VIII. Authorized Official

Name: EARMIAS YOHANNES GETAHUN
Title or Position: PRESIDENT
Credential:
Phone: 804-405-4052