Provider Demographics
NPI:1528381886
Name:WHEELCHAIR TRANSPORTATION LLP
Entity Type:Organization
Organization Name:WHEELCHAIR TRANSPORTATION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-274-2431
Mailing Address - Street 1:11590 GREENLAWN DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-9086
Mailing Address - Country:US
Mailing Address - Phone:574-274-2431
Mailing Address - Fax:
Practice Address - Street 1:13645 MCKINLEY HWY STE D
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-7492
Practice Address - Country:US
Practice Address - Phone:574-274-2431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN73879 ETA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)