Provider Demographics
NPI:1952783524
Name:MT ACQUISIITONS, LLC
Entity Type:Organization
Organization Name:MT ACQUISIITONS, LLC
Other - Org Name:MOUNTAINS TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-333-8294
Mailing Address - Street 1:PO BOX 694
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0694
Mailing Address - Country:US
Mailing Address - Phone:303-333-8294
Mailing Address - Fax:720-763-9079
Practice Address - Street 1:12301 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2446
Practice Address - Country:US
Practice Address - Phone:303-333-8294
Practice Address - Fax:720-763-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55768344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherEIN