Provider Demographics
NPI:1881809622
Name:CUSA ES. LLC TAXI 9000 BISMARCK
Entity type:Organization
Organization Name:CUSA ES. LLC TAXI 9000 BISMARCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSITANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-223-9035
Mailing Address - Street 1:3750 E ROSSER AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501
Mailing Address - Country:US
Mailing Address - Phone:701-223-9035
Mailing Address - Fax:701-258-7393
Practice Address - Street 1:3750 E ROSSER AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501
Practice Address - Country:US
Practice Address - Phone:701-223-9035
Practice Address - Fax:701-258-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi