Healthcare Provider Details

I. General information

NPI: 1508785841
Provider Name (Legal Business Name): NEENAH TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 N WALDOCH DR
APPLETON WI
54913-8445
US

IV. Provider business mailing address

609 N WALDOCH DR
APPLETON WI
54913-8445
US

V. Phone/Fax

Practice location:
  • Phone: 619-433-2375
  • Fax:
Mailing address:
  • Phone: 619-433-2375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: AHMED A AHMED
Title or Position: OWNER
Credential:
Phone: 619-433-2375