Provider Demographics
NPI:1184853707
Name:J J FARIBO TAXI
Entity Type:Organization
Organization Name:J J FARIBO TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:UGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-291-8284
Mailing Address - Street 1:412 PRAIRIE AVENUE
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021
Mailing Address - Country:US
Mailing Address - Phone:507-291-8294
Mailing Address - Fax:507-332-2789
Practice Address - Street 1:412 PRAIRIE AVE SW
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5735
Practice Address - Country:US
Practice Address - Phone:507-291-8294
Practice Address - Fax:507-332-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi