MR. PRINCE MABIALA NPI 1124384045

NPI Information

NPI: 1124384045
Provider Name: MR. PRINCE MABIALA
Classification: Private Vehicle - 347C00000X
Entity Type: Individual
Address:
2575 N COUNTRY CLUB RD APT A4
TUCSON, AZ
ZIP 85716
Phone: (520) 808-3775
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MR. Prince Mabiala is a private vehicle in Tucson, AZ. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. MR. Prince Mabiala NPI is 1124384045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2575 N COUNTRY CLUB RD APT A4
TUCSON, AZ
ZIP 85716-501
Phone: (520) 808-3775
Fax: (520) 748-2355

The enumeration date for this NPI number is 4/4/2012 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		ARIZONA	No
2	347C00000X	Private Vehicle	APF8708	ARIZONA	No
3	347C00000X	Private Vehicle	AVF9340	ARIZONA	No
4	347C00000X	Private Vehicle	ATN9038	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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