Shukri Daud Ibrahim

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Fort Morgan, CO

NPI 1346889862 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1346889862
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
408 E Railroad Ave
Fort Morgan, CO 80701-3330
Phone
(720) 400-4736
NPI assigned
Jan 1, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Private Vehicle 347C00000X
Interpreter 171R00000X
Home Health Aide 374U00000X
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

408 E Railroad Ave
Fort Morgan, CO 80701-3330

Mailing address

PO Box 1102
Fort Morgan, CO 80701-1102
Phone (720) 400-4736

Other providers in Fort Morgan, CO

All providers in Fort Morgan, CO · Non-emergency Medical Transport (VAN) in Colorado

Sources for this page

Verify at the official NPI Registry.