Organization
HALLA TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMSO NUR (OWNER)
(414) 553-0745
Entity
Organization
Contact information
Practice address
1421 W BIRDSONG DR APT B13, OAK CREEK, WI 53154-8432
(414) 553-0745
Mailing address
1421 W BIRDSONG DR APT B13, OAK CREEK, WI 53154-8432
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163974
—
WI
Enumeration date
10/22/2021
Last updated
10/22/2021
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