MEDICARE: ADVANCED TRANSPORTATION LLC.

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	343900000X	Non-emergency Medical Transport (VAN)	41500800	WI

General Provider Information

NPI Number	:	1790917359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED TRANSPORTATION LLC.

Provider Business Mailing Address
First Line	:	3346 E RYAN RD
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-4744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3346 E RYAN RD
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-4744
Country	:	US
Telephone Number	:	414-588-0899
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT JOESPH BIRO JR.
Credential	:
Telephone Number	:	14145880899

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	08/17/2009

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Directions to “ADVANCED TRANSPORTATION LLC. ” Practice Location

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