Provider Demographics
NPI:1144912072
Name:MY TRANSIT LLC
Entity type:Organization
Organization Name:MY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARKETIS
Authorized Official - Middle Name:MARCELLUS
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/MANGAER
Authorized Official - Phone:414-544-3915
Mailing Address - Street 1:4910 W GREEN TREE RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-5327
Mailing Address - Country:US
Mailing Address - Phone:414-544-3915
Mailing Address - Fax:
Practice Address - Street 1:4910 W GREEN TREE RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-5327
Practice Address - Country:US
Practice Address - Phone:414-544-3915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)