MEDICARE: ALL AMERICAN TRANSIT

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)	L10414	MI

General Provider Information

NPI Number	:	1902293111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN TRANSIT

Provider Business Mailing Address
First Line	:	1061 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-3168
Country	:	US
Telephone Number	:	734-747-3359
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-3168
Country	:	US
Telephone Number	:	734-747-3359
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RABIA LATIF
Credential	:
Telephone Number	:	734-747-3359

Provider Enumeration Date	:	04/25/2015
Last Update Date	:	04/25/2015

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