person
Mr. Victor Adegoke Johnson
Secured Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1649454786

Victor Adegoke Johnson is a Secured Medical Transport (VAN) based in Milwaukee, WI. Victor Adegoke Johnson practices in Milwaukee, WI. The NPI Number for Victor Adegoke Johnson is 1649454786 and holds a License No. 41451800 (Wisconsin).

The current practice location address for Victor Adegoke Johnson is 8220 W Lynmar Ter, Milwaukee, WI and can be reached out via phone at 414-460-6734 and via fax at 414-616-3344. You can also correspond with Victor Adegoke Johnson through the mailing address at 8220 W LYNMAR TER, MILWAUKEE, WI - 53222-1937 (mailing address contact number: 414-460-6734).

Location: 8220 W Lynmar Ter, Milwaukee, WI, 53222-1937
person
Provider Profile Details
NPI Number
1649454786
Provider Name
Victor Adegoke Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8220 W Lynmar Ter, Milwaukee, WI, 53222-1937
Phone Number
414-460-6734
Fax Number
414-616-3344
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41451800 05 WI
institution
Provider Business Practice Location Address Details
Address
8220 W Lynmar Ter
City
State
Zip
53222-1937
Phone Number
414-460-6734
Fax Number
414-616-3344
person
Provider Business Mailing Address Details
Address
8220 W Lynmar Ter
City
State
Zip
53222-1937
Phone Number
414-460-6734
Fax Number
414-616-3344
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
41451800 (Wisconsin)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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