MEDICARE: MR. OLAWALE AKINDELE-OBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	41501100	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205160884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OLAWALE AKINDELE-OBE

Provider Business Mailing Address
First Line	:	3849 N 51ST BLVD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2303
Country	:	US
Telephone Number	:	414-588-0726
Fax Number	:

Provider Business Practice Location Address
First Line	:	3849 N 51ST BLVD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2303
Country	:	US
Telephone Number	:	414-588-0726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	09/29/2009

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