Provider Demographics
NPI:1154502516
Name:ABLE ACCESS TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ABLE ACCESS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-354-5800
Mailing Address - Street 1:4455 W BRADLEY RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-3763
Mailing Address - Country:US
Mailing Address - Phone:414-354-5800
Mailing Address - Fax:414-354-5808
Practice Address - Street 1:4455 W BRADLEY RD
Practice Address - Street 2:SUITE 206
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-3763
Practice Address - Country:US
Practice Address - Phone:414-354-5800
Practice Address - Fax:414-354-5808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41481800Medicaid