Organization
BINKO TRANSPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICOLE LASHAY JACKSON (OWNER)
(414) 759-2127
Entity
Organization
Contact information
Practice address
2503 N 41ST ST, MILWAUKEE, WI 53210-2935
(414) 759-2127
Mailing address
2503 N 41ST ST, MILWAUKEE, WI 53210-2935
(414) 759-2127
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415625018
—
WI
Enumeration date
01/26/2022
Last updated
01/26/2022
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