Provider Demographics
NPI:1427778117
Name:COX, MALIK WILLIAM
Entity type:Individual
Prefix:
First Name:MALIK
Middle Name:WILLIAM
Last Name:COX
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 1:2525 W ROOSEVELT DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-6642
Mailing Address - Country:US
Mailing Address - Phone:414-840-9346
Mailing Address - Fax:
Practice Address - Street 1:2525 W ROOSEVELT DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-6642
Practice Address - Country:US
Practice Address - Phone:414-840-9346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)