Provider Demographics
NPI:1700591674
Name:OSEI, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:OSEI
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 1:2967 N DESERT HORIZONS LN
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4980
Mailing Address - Country:US
Mailing Address - Phone:520-607-7264
Mailing Address - Fax:
Practice Address - Street 1:2967 N DESERT HORIZONS LN
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4980
Practice Address - Country:US
Practice Address - Phone:520-607-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPHA29G343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)