Healthcare Provider Details

I. General information

NPI: 1841100047
Provider Name (Legal Business Name): NORTHSTEAD MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 PREMIER PL
FORT ATKINSON WI
53538-3157
US

IV. Provider business mailing address

1611 PREMIER PL
FORT ATKINSON WI
53538-3157
US

V. Phone/Fax

Practice location:
  • Phone: 612-747-6905
  • Fax:
Mailing address:
  • Phone: 612-747-6905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ZAKARIYE JAMA ABDI
Title or Position: OWNER
Credential:
Phone: 612-747-6905