Healthcare Provider Details

I. General information

NPI: 1376967281
Provider Name (Legal Business Name): ACCESS ELEVATOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E NORSE AVE
CUDAHY WI
53110-2850
US

IV. Provider business mailing address

1995 E NORSE AVE
CUDAHY WI
53110-2850
US

V. Phone/Fax

Practice location:
  • Phone: 414-727-2524
  • Fax: 414-727-6945
Mailing address:
  • Phone: 414-727-2524
  • Fax: 414-727-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. JON F TEVZ
Title or Position: PRESIDENT
Credential:
Phone: 414-727-2524