; NPI #1124481882

Contact Information

OUMOU FORT

3351 S 51ST ST
MILWAUKEE, WI 53219-4516

Phone: 414-460-6868
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Private Vehicle	347C00000X
Driver	172A00000X

Indicates primary specialty

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NPI Profile & details for

NPI # 1124481882

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 03/31/2016

Last updated 03/31/2016 - About 10 years ago

Identifiers

License #

347C00000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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