Individual provider · Type 1 NPI

Edward Ray Easley Jr., MBE

Driver · Milwaukee, WI

NPI number 1487321782 Active

Practice location

8608 W Hemlock St
Milwaukee, WI 53224-4042

Call (414) 788-1727 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XE2402367714503 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1487321782

Edward Ray Easley Jr., MBE's National Provider Identifier is 1487321782, issued on Aug 24, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 24, 2021.