Organization
SJ TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER JACKSON (PRESIDENT)
(414) 349-3510
Entity
Organization
Contact information
Practice address
2515 N 48TH ST, MILWAUKEE, WI 53210-2846
(414) 349-3510
Mailing address
2515 N 48TH ST, MILWAUKEE, WI 53210-2846
(414) 349-3510
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
J2507806521506
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41479800
—
WI
Enumeration date
12/19/2007
Last updated
12/19/2007
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