Provider Demographics
NPI:1407389158
Name:HOOSIER TAXI INC
Entity Type:Organization
Organization Name:HOOSIER TAXI INC
Other - Org Name:HOOSIER MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADDHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-386-9333
Mailing Address - Street 1:110 N MICHIGAN ST
Mailing Address - Street 2:PO BOX 525
Mailing Address - City:LAKEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46536-7701
Mailing Address - Country:US
Mailing Address - Phone:574-386-9333
Mailing Address - Fax:
Practice Address - Street 1:110 N MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:IN
Practice Address - Zip Code:46536-7701
Practice Address - Country:US
Practice Address - Phone:574-386-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport