Provider Demographics
NPI:1538690680
Name:ALFASON INCORPORATED DBA RIDEY TAXI
Entity Type:Organization
Organization Name:ALFASON INCORPORATED DBA RIDEY TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-805-5888
Mailing Address - Street 1:3523 45TH ST S
Mailing Address - Street 2:SUITE 177
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8962
Mailing Address - Country:US
Mailing Address - Phone:701-526-1488
Mailing Address - Fax:
Practice Address - Street 1:3523 45TH ST S
Practice Address - Street 2:SUITE 177
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8962
Practice Address - Country:US
Practice Address - Phone:701-526-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND41718800344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi