Provider Demographics
NPI:1447440359
Name:DOYLE'S YELLOW CHECKER CAB, INC
Entity type:Organization
Organization Name:DOYLE'S YELLOW CHECKER CAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PEINOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-235-5535
Mailing Address - Street 1:2704 5TH AVE S UNIT B
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-8746
Mailing Address - Country:US
Mailing Address - Phone:701-235-5535
Mailing Address - Fax:701-235-7358
Practice Address - Street 1:2704 5TH AVE S UNIT B
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-8746
Practice Address - Country:US
Practice Address - Phone:701-235-5535
Practice Address - Fax:701-235-7358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPEI600052344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND2355535Medicaid