Provider Demographics
NPI:1790241552
Name:AMERICAN TRANSIT TEAM LLC
Entity Type:Organization
Organization Name:AMERICAN TRANSIT TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-825-2558
Mailing Address - Street 1:12605 W NORTH AVE # 270
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4629
Mailing Address - Country:US
Mailing Address - Phone:262-222-2989
Mailing Address - Fax:262-299-0133
Practice Address - Street 1:N67W13393 ROMAN CT
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-5298
Practice Address - Country:US
Practice Address - Phone:262-825-2558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)