Patrick Mwonya
Individual provider Active NPI Taxi · Pendleton, IN
NPI 1629428966 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1629428966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Taxi 344600000X
- Practice address
- 6473 Independence CT
Pendleton, IN 46064-8524 - Phone
- (732) 991-7056
- NPI assigned
- Jun 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MP Transportation LLC | Taxi | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | IN | Yes |
Addresses
Primary practice location
6473 Independence CT
Pendleton, IN 46064-8524
Mailing address
6473 Independence CT
Pendleton, IN 46064-8524
Phone (732) 991-7056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263 | Medicaid | IN |
Other providers in Pendleton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. 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.