Healthcare Provider Details

I. General information

NPI: 1467104976
Provider Name (Legal Business Name): SAFE WITH US
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4067 N 19TH ST
MILWAUKEE WI
53209-6803
US

IV. Provider business mailing address

4067 N 19TH ST
MILWAUKEE WI
53209-6803
US

V. Phone/Fax

Practice location:
  • Phone: 414-578-8138
  • Fax:
Mailing address:
  • Phone: 414-578-8138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: DAMION LEWIS BROWN
Title or Position: OWNER
Credential:
Phone: 414-578-8138