Individual
MR. BAKARY SISSOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 CONTINENTAL CT, INDIANAPOLIS, IN 46227-1406
(317) 529-6225
(317) 245-6215
Mailing address
4007 CONTINENTAL CT, INDIANAPOLIS, IN 46227-1406
(317) 529-6225
(317) 245-6215
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
265127
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201158900A
—
IN
Enumeration date
08/19/2013
Last updated
08/19/2013
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