NEBIYU JAMAL FANTA


Address: 478 University Ave W, Saint Paul, MN 55103-1935
Phone: 2027798511

NEBIYU JAMAL FANTA (NPI# 1013498872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013498872
Entity Type Individual
Full Name NEBIYU JAMAL FANTA
Practice Address 478 University Ave W
Saint Paul
MN 55103-1935
Practice Telephone 2027798511
Mailing Telephone 2027798511
Enumeration Date 2018-08-28
Last Update Date 2018-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver M153136798609 MN Other Service Providers

Office Location

Street Address 478 UNIVERSITY AVE W
City SAINT PAUL
State MN
Zip Code 55103-1935

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1629372479 Korme Koji Registered Nurse 413 Central Avenue, St Paul, MN 55103 2011-01-07
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1699908277 Kathleen Mae Borchert Clinical Nurse Specialist 559 Capitol Bloulevard, St. Paul, MN 55103 2009-08-28
1164690442 Chong Pao Thao Technician 23 Empire Drive, Suite 123, St Paul, MN 55103 2008-02-20
1245366806 Quality Plus Home Healthcare Services Inc Home Health 383 University Ave W. Upper, St Paul, MN 55103 2007-02-26
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

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1801427505 Anthony D Meade Driver 5222 Mccleanan Town Road, Saint Paul, VA 24283-2616 2020-01-31
1194270801 Tou Su Taylor Kong Driver 33 Battle Creek Pl, Saint Paul, MN 55119-4909 2016-08-23
1972962801 Henry David Aung Driver 88 Orange Ave W, Saint Paul, MN 55117-4532 2016-02-20
1841660263 Sandol Khalaf Driver 1821 University Ave W Ste 153, Saint Paul, MN 55104-2894 2015-09-28
1710302724 Lee Xiong Driver 892 Sims Ave, Saint Paul, MN 55106-3828 2014-02-27
1538408265 Bilal M Alsadi Driver 1200 Rice St, Saint Paul, MN 55117-4903 2013-01-31
1467993956 Kassim Mohamed Driver 860 Blue Gentian Rd, Ste 200, Saint Paul, MN 55121-1564 2017-03-16

Providers in the same taxonomy and state

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1093322273 Melissa Jo Dahlstrom Driver 185 Hidden Vly, Minnesota City, MN 55959-1231 2020-09-30
1346866100 Oral M Sledge Driver 4261 Penn Ave N, Minneapolis, MN 55412-1537 2020-06-17
1790318186 Grace Edith Line Driver 2934 168th Ln Nw, Andover, MN 55304-1928 2020-02-13
1548813447 Camille Krashawn Eubanks Driver 6444 84thcourt, Brooklyn Park, MN 55445 2019-07-19
1174180640 Kathryn L Pederson Driver 22329 141st St Ne, Hawick, MN 56273-7705 2019-05-21
1336606912 Oluseye Akeem Adenusi Driver 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 2019-03-01
1710444146 Abdi Fatah Driver 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 2019-02-21
1932665403 Mark Shea Driver 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 2019-02-20
1861975765 Kenyi Okucu Driver 1490 148th Ave Nw, Andover, MN 55304-3459 2018-09-07
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Competitor

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City SAINT PAUL
Zip Code 55103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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