Provider Demographics
NPI:1275730129
Name:WHEELCHAIR TAXI AND TRANSPORTATION INC.
Entity Type:Organization
Organization Name:WHEELCHAIR TAXI AND TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-452-7744
Mailing Address - Street 1:2516 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-2164
Mailing Address - Country:US
Mailing Address - Phone:920-457-6666
Mailing Address - Fax:920-457-5974
Practice Address - Street 1:2516 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-2164
Practice Address - Country:US
Practice Address - Phone:920-457-6666
Practice Address - Fax:920-457-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41485800Medicaid