Provider Demographics
NPI:1376896118
Name:JR. TRANSPORTATION LLC
Entity Type:Organization
Organization Name:JR. TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:414-788-2130
Mailing Address - Street 1:2745 N 58TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1540
Mailing Address - Country:US
Mailing Address - Phone:414-445-2353
Mailing Address - Fax:414-445-9520
Practice Address - Street 1:2745 N 58TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1540
Practice Address - Country:US
Practice Address - Phone:414-445-2353
Practice Address - Fax:414-445-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)