Daniel O Biokoro
Individual provider Active NPI Driver · Crown Point, IN
NPI 1265046221 · NPPES record last updated Sep 7, 2020
Key facts
- NPI
- 1265046221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 5360099694 (IN)
- Practice address
- 1446 W 94TH CT
Crown Point, IN 46307-2217 - Phone
- (219) 779-1280
- NPI assigned
- Sep 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5360099694 | IN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fed LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67031420A | ||
| Driver | 172A00000X | 5360099694 | IN | Yes |
Addresses
Primary practice location
1446 W 94TH CT
Crown Point, IN 46307-2217
Mailing address
1446 W 94TH CT
Crown Point, IN 46307-2217
Phone (219) 779-1280
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.