Organization
MIKE'S CAPITAL CAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAL (OWNER)
(402) 570-1770
Entity
Organization
Contact information
Practice address
6320 SOUTH ST, LINCOLN, NE 68506-2822
(402) 570-1770
Mailing address
6320 SOUTH ST, LINCOLN, NE 68506-2822
(402) 570-1770
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GO2150159
DRIVERS LICENSE
NE
Enumeration date
08/05/2019
Last updated
08/05/2019
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