Healthcare Provider Details
I. General information
NPI: 1407185770
Provider Name (Legal Business Name): ALTERNATIVE TRANSPORTATION SULUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2009
Last Update Date: 12/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29193 NORTHWESTERN HWY SUITE 743
SOUTHFIELD MI
48034-1011
US
IV. Provider business mailing address
29193 NORTHWESTERN HWY STE 743
SOUTHFIELD MI
48034-1011
US
V. Phone/Fax
- Phone: 313-910-9905
- Fax:
- Phone: 313-910-9905
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | MI |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347B00000X |
| Taxonomy | Bus |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name: MR.
SHEROD
WILLIAM
JOHNSON
Title or Position: CEO
Credential:
Phone: 313-910-9905