Provider Demographics
NPI:1710657382
Name:WHEELCHAIR TRANSPORT BY ALPHA
Entity Type:Organization
Organization Name:WHEELCHAIR TRANSPORT BY ALPHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:PATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-673-3769
Mailing Address - Street 1:4396 DIXIE HWY STE 2
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3564
Mailing Address - Country:US
Mailing Address - Phone:248-673-3769
Mailing Address - Fax:248-484-7155
Practice Address - Street 1:4396 DIXIE HWY STE 2
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-3564
Practice Address - Country:US
Practice Address - Phone:248-673-3769
Practice Address - Fax:248-484-7155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker