Vicnik Transportation.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

373258 Issued in MN

Legal business name

VICNIK TRANSPORTATION.

Practice address

3701 66TH Ave N
Brooklyn Center, MN 55429-1815

Phone

(763) 568-6203

Fax

(763) 780-7175

NPI assigned

Jan 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Victor Olusegun Ogunbanwo

Title

Owner

Phone

(763) 568-6203

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1366629453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291815",
            "telephone_number": "763-568-6203",
            "fax_number": "763-780-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 66TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291815",
            "telephone_number": "763-568-6203",
            "fax_number": "763-780-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICNIK TRANSPORTATION.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "OGUNBANWO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OLUSEGUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-568-6203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "373258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.