Provider Demographics
NPI:1497115778
Name:MUCHAI, JOSEPH
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:MUCHAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 MIDDLESEX ST
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1519
Mailing Address - Country:US
Mailing Address - Phone:978-601-6421
Mailing Address - Fax:978-677-6125
Practice Address - Street 1:82 MIDDLESEX ST
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1519
Practice Address - Country:US
Practice Address - Phone:978-601-6421
Practice Address - Fax:978-677-6125
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X, 347E00000X
MAS09581593251E00000X, 172A00000X, 347C00000X, 261QM0850X, 261QH0100X, 261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No172A00000XOther Service ProvidersDriver
No347C00000XTransportation ServicesPrivate Vehicle
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No347E00000XTransportation ServicesTransportation Broker