=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376774620
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAOB'S TAXI CABS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2009
-----------------------------------------------------
Last Update Date | 08/04/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 453 S HIGH ST 453 SOUTH HIGH STREET SUITE 101
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44311-4415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-836-3030
-----------------------------------------------------
Fax | 330-315-2018
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 453 S HIGH ST 453 SOUTH HIGH STREET SUITE 101
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44311-4415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-836-3030
-----------------------------------------------------
Fax | 330-315-2018
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS MANAGER
-----------------------------------------------------
Name | MR. TYRONE MCKINLEY JACOBS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-836-3030
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------