Keita, Mohamed
Keita, Mohamed is an sole proprietor health care provider with primary practice located at 5030 Warrington Avenue , Philadelphia PA 19143. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Keita, Mohamed can be contacted via phone (215) 939-1448.Contact Information
Primary practice address
5030 Warrington Avenue
Philadelphia PA 19143
Phone: (215) 939-1448
Fax: (215) 921-8530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | PA-PUC-A6414780 | Pennsylvania |
Profile Details
| NPI number | 1336604024 |
|---|---|
| LBN Legal business name | Keita, Mohamed |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2019 |
| Last updated | Feb 6th, 2019 - about 7 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 | 1336604024 | NPPES |
| Pennsylvania | MEDICAID | 102800991 |
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