BABOONIE TATUM


Address: 732 W Melvina St, Milwaukee, WI 53206-3342
Phone: 4149158189

BABOONIE TATUM (NPI# 1639590979) 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) 1639590979
Entity Type Individual
Full Name BABOONIE TATUM
Practice Address 732 W Melvina St
Milwaukee
WI 53206-3342
Practice Telephone 4149158189
Mailing Telephone 4149158189
Enumeration Date 2014-01-03
Last Update Date 2014-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

Office Location

Street Address 732 W MELVINA ST
City MILWAUKEE
State WI
Zip Code 53206-3342

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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124654744 Abdinaasir M Ali Sr. Driver 5151 S Howell Ave Ste H, Milwaukee, WI 53207-6179 2020-03-15
1518428721 Vang Moua Driver 5950 N 74th St, Milwaukee, WI 53218-1830 2019-03-29
1164996195 Omar A Mohamed Driver 450 N 33rd St Apt 2, Milwaukee, WI 53208-3854 2019-01-12
1396227252 Emonie S Patton Driver 4660 N 19th St, Milwaukee, WI 53209-6433 2018-09-06
1013496488 Kenyari Maschon Brown Driver 2002 N 71st St, Milwaukee, WI 53213-1824 2018-08-07
1316439151 Tasheika Thiree Adams Driver 6467 N 52nd St, Milwaukee, WI 53223-6011 2018-06-06
1891224770 Jihad Jackson Driver 5427 N 91st St Apt 1, Milwaukee, WI 53225-3427 2017-06-05
1821532805 Latasha Dupriest-williams Driver 4054 N 71st St, Milwaukee, WI 53216-1026 2016-12-11
1174065254 Monica Landry Driver 5730 N 95th St Apt A, Milwaukee, WI 53225-2654 2016-11-07
1124481882 Oumou Fort Driver 3351 S 51st St, Milwaukee, WI 53219-4516 2016-03-31
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Competitor

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City MILWAUKEE
Zip Code 53206

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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