Organization
XMAN EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLE (CEO)
(414) 391-9901
Entity
Organization
Contact information
Practice address
8617 N SERVITE DR, UNIT 209, MILWAUKEE, WI 53223-2577
(414) 391-9901
Mailing address
8617 N SERVITE DR, UNIT 209, MILWAUKEE, WI 53223-2577
(414) 391-9901
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100032417
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032417
—
WI
Enumeration date
11/02/2013
Last updated
11/02/2013
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