=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821923830
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAMZE ABDI YUSUF
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2026
-----------------------------------------------------
Last Update Date | 06/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3402 OAKWOOD MALL DR STE 200
-----------------------------------------------------
City | EAU CLAIRE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54701-2808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-251-7273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3402 OAKWOOD MALL DR
-----------------------------------------------------
City | EAU CLAIRE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54701-2807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-251-7273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number | ZLB836
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------