Individual
BASAM MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660227462
—
LA
05
—
664802073
—
LA
05
—
802192167
—
LA
05
—
84-1906921
—
LA
Enumeration date
06/05/2019
Last updated
06/05/2019
Update your record
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