Organization
PANTHEON TRANSPORTATION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LITTLE (OWNER)
(414) 567-8551
Entity
Organization
Contact information
Practice address
6001 W CAPITOL DR STE 206, MILWAUKEE, WI 53216-2155
(414) 567-8551
Mailing address
12420 W HAMPTON AVE UNIT 164, BUTLER, WI 53007-5008
(414) 567-8551
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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