Provider Demographics
NPI:1265612634
Name:ASAP TRANSPORTATION LLC
Entity type:Organization
Organization Name:ASAP TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPSHELEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-699-2303
Mailing Address - Street 1:425 W WILLOW CT
Mailing Address - Street 2:SUITE 233
Mailing Address - City:FOX POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2667
Mailing Address - Country:US
Mailing Address - Phone:414-699-2303
Mailing Address - Fax:262-236-4005
Practice Address - Street 1:425 W WILLOW CT
Practice Address - Street 2:SUITE 233
Practice Address - City:FOX POINT
Practice Address - State:WI
Practice Address - Zip Code:53217-2667
Practice Address - Country:US
Practice Address - Phone:414-699-2303
Practice Address - Fax:262-236-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41499600343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41499600Medicaid