Provider Demographics
NPI:1437716073
Name:DAVES TRANSPORT LLC
Entity Type:Organization
Organization Name:DAVES TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-884-1481
Mailing Address - Street 1:615 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ZUMBROTA
Mailing Address - State:MN
Mailing Address - Zip Code:55992-1157
Mailing Address - Country:US
Mailing Address - Phone:507-884-1481
Mailing Address - Fax:507-732-7370
Practice Address - Street 1:615 W 5TH ST
Practice Address - Street 2:
Practice Address - City:ZUMBROTA
Practice Address - State:MN
Practice Address - Zip Code:55992-1157
Practice Address - Country:US
Practice Address - Phone:507-884-1481
Practice Address - Fax:507-732-7370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle