=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669157160
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAYPEL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2023
-----------------------------------------------------
Last Update Date | 06/21/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 502 PLACID CT APTD
-----------------------------------------------------
City | ODENTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21113-1440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-231-7932
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 502 PLACID CT APT D
-----------------------------------------------------
City | ODENTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21113-1440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 862-231-7932
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING DIRECTOR
-----------------------------------------------------
Name | MR. OLAYINKA AJIBOLA A ABAYOMI-SALAKO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-671-9317
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------