MEDICARE: ALEX OSEI

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)	PHA29G	AZ

General Provider Information

NPI Number	:	1700591674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX OSEI

Provider Business Mailing Address
First Line	:	2967 N DESERT HORIZONS LN
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-4980
Country	:	US
Telephone Number	:	520-607-7264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2967 N DESERT HORIZONS LN
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-4980
Country	:	US
Telephone Number	:	520-607-7264
Fax Number	:

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

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	01/16/2023

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Directions to “ ALEX OSEI ” Practice Location

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