Provider Demographics
NPI:1598965535
Name:ALTON'S TRANSPORT LLC
Entity Type:Organization
Organization Name:ALTON'S TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ALTON
Authorized Official - Last Name:MILLINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-638-2472
Mailing Address - Street 1:4347 HEWITT ST APT C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2088
Mailing Address - Country:US
Mailing Address - Phone:336-638-2472
Mailing Address - Fax:
Practice Address - Street 1:4347 HEWITT ST APT C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2088
Practice Address - Country:US
Practice Address - Phone:336-638-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC155721343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)