JERRY AGBAEZE OBI


Address: 209 Meriwether Rd, Lynchburg, VA 24503-1844
Phone: 4349426187

JERRY AGBAEZE OBI (NPI# 1144728890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144728890
Entity Type Individual
Full Name JERRY AGBAEZE OBI
Practice Address 209 Meriwether Rd
Lynchburg
VA 24503-1844
Practice Telephone 4349426187
Mailing Telephone 4349426187
Enumeration Date 2018-01-29
Last Update Date 2018-01-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle Transportation Services

Office Location

Street Address 209 MERIWETHER RD
City LYNCHBURG
State VA
Zip Code 24503-1844

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1912226382 The Way Congregational Church Voluntary or Charitable 3305 Rivermont Avenue, Lynchburg, VA 24503 2010-05-25
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1821286485 Mary Ayers Highton Nurse Practitioner 3300 Rivermont Ave., Lynchburg, VA 24503 2007-10-09
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891332490 Tonya Lynnell Wade Private Vehicle 302 Norwood St, Lynchburg, VA 24504-4422 2019-12-03
1245797885 Herbert Jerome Marshall Jr. Private Vehicle 53 Federal St Apt B, Lynchburg, VA 24504-2242 2019-03-01
1023575750 Luciana F Nwozor Private Vehicle 403 Millwheel Ct, Lynchburg, VA 24503-3530 2019-02-28
1043794415 Robert Patrick Thomas Private Vehicle 44 Point Drive, Apt 30, Lynchburg, VA 24502 2018-09-20
1023512886 Chavon D Moss Private Vehicle 604 Chambers St, Lynchburg, VA 24501-5414 2018-03-19
1366944860 Anita Elaine Tinsley Private Vehicle 1124 Long Meadows Dr, Lynchburg, VA 24502-5206 2018-03-01
1134620982 Monica Revely Private Vehicle 312 F St, Lynchburg, VA 24504-4302 2018-02-27
1376042887 Earl Morris Spinner Private Vehicle 625 Midvale St, Lynchburg, VA 24502-1131 2018-02-10
1013315472 Diamond Adult Day Care Private Vehicle 225 Devonshire Rd, Lynchburg, VA 24501-2301 2014-12-16
1447719018 Steve Majlaton Private Vehicle 403 Millwheel Ct, Lynchburg, VA 24503-3530 2019-03-13
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Competitor

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City LYNCHBURG
Zip Code 24503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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