MEDICARE: CALSO TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1134859713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALSO TRANSPORTATION

Provider Business Mailing Address
First Line	:	2866 S 33RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-5203
Country	:	US
Telephone Number	:	414-334-8934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2866 S 33RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-5203
Country	:	US
Telephone Number	:	414-334-8934
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE SOTO
Credential	:
Telephone Number	:	143-348-9344

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	06/15/2022

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Directions to “CALSO TRANSPORTATION ” Practice Location

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