Healthcare Provider Details

I. General information

NPI: 1467378562
Provider Name (Legal Business Name): IN AND OUT TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4196 N 14TH ST
MILWAUKEE WI
53209-6907
US

IV. Provider business mailing address

4196 N 14TH ST
MILWAUKEE WI
53209-6907
US

V. Phone/Fax

Practice location:
  • Phone: 414-975-9657
  • Fax:
Mailing address:
  • Phone: 414-975-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. DEMETRI JANI BRADLEY
Title or Position: OWNER
Credential: OWNER
Phone: 414-975-9657