Healthcare Provider Details

I. General information

NPI: 1437930310
Provider Name (Legal Business Name): IPARTIZ,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 E MERRIMACK ST
LOWELL MA
01852-1449
US

IV. Provider business mailing address

119 DRUM HILL RD # 109
CHELMSFORD MA
01824-1505
US

V. Phone/Fax

Practice location:
  • Phone: 978-610-4096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ENOCK MUKIIBI
Title or Position: OWNER/MANAGER
Credential:
Phone: 617-820-6939