MR. VICTOR ADEGOKE JOHNSON


Address: 8220 W Lynmar Ter, Milwaukee, WI 53222-1937
Phone: 4144606734

MR. VICTOR ADEGOKE JOHNSON (NPI# 1649454786) 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) 1649454786
Entity Type Individual
Full Name MR. VICTOR ADEGOKE JOHNSON
Practice Address 8220 W Lynmar Ter
Milwaukee
WI 53222-1937
Practice Telephone 4144606734
Practice Fax Number 4146163344
Mailing Telephone 4144606734
Mailing Fax Number 4146163344
Enumeration Date 2007-12-26
Last Update Date 2007-12-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343800000X Secured Medical Transport (VAN) 41451800 WI Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
WI 41451800 05

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Office Location

Street Address 8220 W LYNMAR TER
City MILWAUKEE
State WI
Zip Code 53222-1937

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1942739206 Yolanda D. Burdine Licensed Practical Nurse 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 2017-06-08
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1477097269 Benjamin David Kluge Pharmacist 11111 W Burleigh Rd, Wauwatosa, WI 53222 2016-12-13
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Taxonomy Information

Taxonomy Code 343800000X
Grouping Transportation Services
Classification Secured Medical Transport (VAN)

Taxonomy Definition

A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144761388 Better Way Transit,inc Secured Medical Transport (VAN) 8014 N 94th St, Milwaukee, WI 53224-2915 2017-03-20
1386029866 Devine Serenity Transport LLC Secured Medical Transport (VAN) 2130 N 32nd St, Milwaukee, WI 53208-1422 2015-07-24
1518384783 Love Life Youth and Family Service Inc Secured Medical Transport (VAN) 9261 E W Allyn St, Milwaukee, WI 53206-4444 2014-03-25
1528344827 Cisero Transportation Services Secured Medical Transport (VAN) 8127 W Brentwood Ave, Milwaukee, WI 53223-5528 2011-10-31
1225326911 Superior Care Transportation, LLC Secured Medical Transport (VAN) 8203 W Appleton Ave, Milwaukee, WI 53218-4519 2011-07-14
1760796403 Community Transportation Secured Medical Transport (VAN) 5429 N 106th Street, Milwaukee, WI 53225-3207 2010-08-05
1114196326 Joseph W Roberts Secured Medical Transport (VAN) 2573 North 44th Street, Milwaukee, WI 53210 2008-02-22
1639354939 Macs and Ball Transport Secured Medical Transport (VAN) 8209 W Kiehnau Ave, Milwaukee, WI 53223-5548 2008-01-04
1568646016 Sj Transportation Secured Medical Transport (VAN) 2515 N 48th St, Milwaukee, WI 53210-2846 2007-12-19
1265613665 E & D Transportation Secured Medical Transport (VAN) 3500 W Elm St, Milwaukee, WI 53209-3106 2007-11-14
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Competitor

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City MILWAUKEE
Zip Code 53222

Improve Information

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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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