Provider Demographics
NPI:1316530793
Name:OCANSEY, ISAAC
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:OCANSEY
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 1:7811 N 155TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-1824
Mailing Address - Country:US
Mailing Address - Phone:402-452-6166
Mailing Address - Fax:
Practice Address - Street 1:7811 N 155TH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-1824
Practice Address - Country:US
Practice Address - Phone:402-452-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)