Provider Demographics
NPI:1558242628
Name:BONNER TAXI
Entity type:Organization
Organization Name:BONNER TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHNELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-650-9488
Mailing Address - Street 1:363 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:PONDERAY
Mailing Address - State:ID
Mailing Address - Zip Code:83852-7004
Mailing Address - Country:US
Mailing Address - Phone:208-650-9488
Mailing Address - Fax:
Practice Address - Street 1:363 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:PONDERAY
Practice Address - State:ID
Practice Address - Zip Code:83852-7004
Practice Address - Country:US
Practice Address - Phone:208-650-9488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company