Organization
BUCKLE UP TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO BLAIN (PRESIDENT)
(414) 349-9158
Entity
Organization
Contact information
Practice address
4011 W CAPITOL DR STE 205, MILWAUKEE, WI 53216-2557
(414) 349-9158
(414) 355-7502
Mailing address
4011 W CAPITOL DR STE 205, MILWAUKEE, WI 53216-2557
(414) 349-9158
(414) 355-7502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100005080
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005080
—
WI
Enumeration date
10/05/2011
Last updated
10/05/2011
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