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Jean Bosco Munyengabe

Physician β€’ Silvis, IL

Deactivated NPI 1922735299 Deactivated in NPPES Male Practitioner
Practice location in NPPES

961 17th Ave
Silvis, IL 612822016

Phone: 3092694837

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 11, 2022; the reason is not published. The records below are historical. They do not show whether Jean Bosco Munyengabe currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 05, 2022
NPI Deactivation Date August 11, 2022
NPI Active Period 2022 – 2022

Practice Location & Contact Primary Location

Practice Address

961 17th Ave

Silvis, IL 612822016

Telephone 3092694837
Organization at the Same NPPES Address or Phone
Prime Transit Llc Facility NPI 1992433619

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Silvis and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 11, 2022

NPPES lists this NPI as deactivated as of August 11, 2022; the reason is not published.

βœ…
NPI Profile Active August 05, 2022

NPI status registered as active in NPPES database

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Practice Location (Initial Record) August 05, 2022

Registered at 961 17TH AVE, SILVIS, IL 612822016 (Tel: 3092694837)

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Business Mailing Address (Initial Record) August 05, 2022

Registered at 961 17TH AVE, SILVIS, IL 612822016 (Tel: 3092694837)

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Provider Name / Credentials (Initial Record) August 05, 2022

Recorded as JEAN BOSCO MUNYENGABE

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration August 05, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922735299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2022
Last Update: August 05, 2022
Deactivation Date: August 11, 2022

Mailing Address

961 17th Ave

Silvis, IL 612822016

Phone: 3092694837

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.