Provider Demographics
NPI:1457062010
Name:HABANE, ABDULLAHI M (MEDICAL TRANSPORT)
Entity Type:Individual
Prefix:
First Name:ABDULLAHI
Middle Name:M
Last Name:HABANE
Suffix:
Gender:M
Credentials:MEDICAL TRANSPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 CHICAGO CT
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54302-3215
Mailing Address - Country:US
Mailing Address - Phone:773-569-6347
Mailing Address - Fax:
Practice Address - Street 1:1743 CHICAGO CT
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54302-3215
Practice Address - Country:US
Practice Address - Phone:773-569-6347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company