NEBIYU JAMAL FANTA
NPI 1013498872
Driver in Saint Paul, MN
- Individual
- Male
- Driver
About NEBIYU FANTA
This page provides the complete NPI Profile along with additional information for Nebiyu Fanta, a provider established in Saint Paul, Minnesota with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1013498872 assigned on August 2018. The practitioner's primary taxonomy code is 172A00000X with license number M153136798609 (MN). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1013498872 Verify this NPI
- Provider Name
- NEBIYU JAMAL FANTA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 478 UNIVERSITY AVE W SAINT PAUL, MN 55103
- Location Phone
- (202) 779-8511
- Mailing Address
- 478 UNIVERSITY AVE W SAINT PAUL, MN 55103
- Mailing Phone
- (202) 779-8511
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-28-2018
- Last Update Date
- 08-28-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Driver
- Taxonomy Code
- 172A00000X
- Type
- Other Service Providers
- License No.
- M153136798609
- License State
- MN
- Taxonomy Description
- A person employed to operate a motor vehicle as a carrier of persons or property.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013498872, enumerated as an "individual" on August 28, 2018.
The provider is located at 478 UNIVERSITY AVE W SAINT PAUL, MN 55103 and the phone number is (202) 779-8511.
Driver with taxonomy code 172A00000X.
