MEDICARE: B&D GLOBAL ENTERPRISE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1962247411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&D GLOBAL ENTERPRISE LLC

Provider Business Mailing Address
First Line	:	5239 NORTH TOBEN COURT
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226
Country	:	US
Telephone Number	:	316-223-8039
Fax Number	:

Provider Business Practice Location Address
First Line	:	5239 NORTH TOBEN COURT
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226
Country	:	US
Telephone Number	:	316-223-8039
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANKLINE TATUH
Credential	:
Telephone Number	:	316-223-8039

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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