=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306642749
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEN CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2025
-----------------------------------------------------
Last Update Date | 02/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6808 UNIVERSITY AVE STE 108
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-2779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-399-6053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6808 UNIVERSITY AVE STE 108
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-2779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-399-6053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MR. BEN SIMO N NGASSA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 414-275-6949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------