Provider Demographics
NPI:1528405701
Name:GROUND SUPPORT LOGISTICS LLC
Entity Type:Organization
Organization Name:GROUND SUPPORT LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANUP
Authorized Official - Middle Name:K
Authorized Official - Last Name:KHULLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-354-8500
Mailing Address - Street 1:8200 W. BROWNDEER RD.
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223
Mailing Address - Country:US
Mailing Address - Phone:414-354-8500
Mailing Address - Fax:414-540-9321
Practice Address - Street 1:8200 W BROWNDEER RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223
Practice Address - Country:US
Practice Address - Phone:414-354-8500
Practice Address - Fax:414-540-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty