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Anthony Moore
Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1053040295

Anthony Moore is a Non-emergency Medical Transport (VAN) based in Milwaukee, WI. Anthony Moore practices in Milwaukee, WI. The NPI Number for Anthony Moore is 1053040295 and holds a License No. (Wisconsin).

The current practice location address for Anthony Moore is 5143 N 68Th St, Milwaukee, WI and can be reached out via phone at 414-299-9992.

Location: 5143 N 68Th St, Milwaukee, WI, 53218-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053040295
Provider Name
Anthony Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
5143 N 68Th St, Milwaukee, WI, 53218-3909
Phone Number
414-299-9992
Fax Number
Provider Enumeration Date
06/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000 05 WI
institution
Provider Business Practice Location Address Details
Address
5143 N 68Th St
City
Milwaukee
State
Wisconsin
Zip
53218-3909
Phone Number
414-299-9992
Fax Number
person
Provider Business Mailing Address Details
Address
5143 N 68Th St
City
Milwaukee
State
Wisconsin
Zip
53218-3909
Phone Number
414-299-9992
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Wisconsin)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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