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NPI Code Detail

MEDICARE: IVORYSTRANSPORTLLC

MEDICARE: IVORYSTRANSPORTLLC
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
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1801743703
Entity Type Code : Organization
Provider Name (Legal Business Name) : IVORYSTRANSPORTLLC
Provider Business Mailing Address
First Line : 4829 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2322
Country : US
Telephone Number : 414-551-9893
Fax Number :
Provider Business Practice Location Address
First Line : 4829 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2322
Country : US
Telephone Number : 414-551-9893
Fax Number :
Authorized Official
Title or Position : OWNER OPERATOR
Name : MR. IVORY JOE MCMURRAY
Credential :
Telephone Number : 414-551-9893
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “IVORYSTRANSPORTLLC ” Practice Location

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