National Provider Identifier Database

MUTIAT B BAMGBALA, PROVIDER – NPI #1205528635
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

MUTIAT B BAMGBALA, PROVIDER
254 ASHFIELD LN
LEXINGTON, NC27292-8348
Phone: 860-986-0003
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Transportation Network Company 342000000X

* Indicates primary specialty

NPI Profile & details for MUTIAT B BAMGBALA

NPI Number 1205528635
Credentials PROVIDER
Entity Individual
Enumeration date 05/24/2023
Last updated 10/06/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 000048761695
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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