Provider Demographics
NPI:1073866794
Name:QUALITY CAB LLC
Entity Type:Organization
Organization Name:QUALITY CAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:INGALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-929-8888
Mailing Address - Street 1:730 NORTHWEST WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54937-1823
Mailing Address - Country:US
Mailing Address - Phone:920-929-8888
Mailing Address - Fax:920-322-0303
Practice Address - Street 1:730 NORTHWEST WAY
Practice Address - Street 2:
Practice Address - City:NORTH FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54937-1823
Practice Address - Country:US
Practice Address - Phone:920-929-8888
Practice Address - Fax:920-322-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI12345OtherMEDICAL TRANSPORTATION