MEDICARE: PARA TRAN INC

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	3416L0300X	Land Ambulance	601305	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497739940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARA TRAN INC

Provider Business Mailing Address
First Line	:	PO BOX 457
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-0457
Country	:	US
Telephone Number	:	847-577-8811
Fax Number	:	847-577-3518

Provider Business Practice Location Address
First Line	:	3157 S DULUTH AVE
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-2970
Country	:	US
Telephone Number	:	920-743-8579
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WAYNE J DENIL
Credential	:	PARAMEDIC
Telephone Number	:	920-743-8579

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/04/2010

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