NPI 1023524014
4 Boomers Transport, LLC
Practice location
- Address
- 1020 James Dr STE F, Hartland, WI 53029-8305
- Phone
- (262) 224-9000
- Fax
- (262) 446-2201
- Mailing address
- N88w35958 Mapleton Rd, Oconomowoc, WI 53066-9632
Authorised official
- Name
- Bonita M Hare
- Title
- Vice President/Business Development
- Phone
- (262) 224-9000
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1023524014
- Entity type
- Organization
- NPI issued
- 28 Dec 2017
- Record last updated
- 28 Dec 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.