Provider Demographics
NPI:1538923586
Name:FAIRBANKS TAXI SERVICES LLC.
Entity type:Organization
Organization Name:FAIRBANKS TAXI SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:OLOSN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-388-2141
Mailing Address - Street 1:PO BOX 80927
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99708-0927
Mailing Address - Country:US
Mailing Address - Phone:907-388-2141
Mailing Address - Fax:907-479-5464
Practice Address - Street 1:930 ASPEN ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-5501
Practice Address - Country:US
Practice Address - Phone:907-388-2141
Practice Address - Fax:907-479-5464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi