Provider Demographics
NPI:1861830879
Name:DURANGO TAXI LLC
Entity Type:Organization
Organization Name:DURANGO TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:9702594818
Authorized Official - Phone:970-259-4818
Mailing Address - Street 1:121 W 32ND ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4183
Mailing Address - Country:US
Mailing Address - Phone:970-259-4818
Mailing Address - Fax:
Practice Address - Street 1:121 W 32ND ST
Practice Address - Street 2:SUITE C
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4183
Practice Address - Country:US
Practice Address - Phone:970-259-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL14196344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi