Johnson, Victor Adegoke
Johnson, Victor Adegoke is an sole proprietor health care provider with primary practice located at 8220 W Lynmar Ter , Milwaukee WI 53222-1937. He recently has only one registered license in Transportation Services / Secured Medical Transport (VAN), which is considered as his primary health care specialty. Johnson, Victor Adegoke can be contacted via phone (414) 460-6734.Contact Information
Primary practice address
8220 W Lynmar Ter
Milwaukee WI 53222-1937
Phone: (414) 460-6734
Fax: (414) 616-3344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Secured Medical Transport (VAN) | 343800000X | 41451800 | Wisconsin |
Profile Details
| NPI number | 1649454786 |
|---|---|
| LBN Legal business name | Johnson, Victor Adegoke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2007 |
| Last updated | Dec 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649454786 | NPPES |
| Wisconsin | MEDICAID | 41451800 |
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