Organization
P AND C TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK PHILLIPS (PRESIDENT)
(414) 779-1938
Entity
Organization
Contact information
Practice address
3422 N 49TH ST, MILWAUKEE, WI 53216-3208
(414) 779-1938
Mailing address
3422 N 49TH ST, MILWAUKEE, WI 53216-3208
(414) 779-1938
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7008
MTM
WI
Enumeration date
07/25/2014
Last updated
07/25/2014
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