=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538039813
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MULTIBASIK LOGISTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2025
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 66 WHAT CHEER AVE
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02909-4814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-306-0357
-----------------------------------------------------
Fax | 401-306-0357
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 66 WHAT CHEER AVE
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02909-4814
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-306-0357
-----------------------------------------------------
Fax | 401-306-0357
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS
-----------------------------------------------------
Name | ADEBISI BADRU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-306-0357
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207PE0004X
-----------------------------------------------------
Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------