Healthcare Provider Details

I. General information

NPI: 1326316134
Provider Name (Legal Business Name): BADGER TRANSFER SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2011
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 SPRING WATERS DR
OCONOMOWOC WI
53066-4181
US

IV. Provider business mailing address

911 SPRING WATERS DR
OCONOMOWOC WI
53066-4181
US

V. Phone/Fax

Practice location:
  • Phone: 262-443-0496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JILL M REID-OLSON
Title or Position: MEMBER/OWNER
Credential:
Phone: 262-443-0496