Provider Demographics
NPI:1124992292
Name:NEOBIZE LLC
Entity type:Organization
Organization Name:NEOBIZE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAWULE
Authorized Official - Middle Name:
Authorized Official - Last Name:DJOSSOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-716-1835
Mailing Address - Street 1:4208 11TH AVENUE A
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-2519
Mailing Address - Country:US
Mailing Address - Phone:309-799-0907
Mailing Address - Fax:
Practice Address - Street 1:4208 11TH AVENUE A
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-2519
Practice Address - Country:US
Practice Address - Phone:309-799-0907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)