MEDICARE: A-TIN TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	347E00000X	Transportation Broker
3	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558295691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-TIN TRANSPORT LLC

Provider Business Mailing Address
First Line	:	55 S STATE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3802
Country	:	US
Telephone Number	:	317-602-8046
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 S STATE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3802
Country	:	US
Telephone Number	:	317-602-8046
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WALTER LITZLBAUER
Credential	:
Telephone Number	:	317-602-8046

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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