Provider Demographics
NPI:1538434865
Name:YOUR WAY TRANSIT LLC.
Entity type:Organization
Organization Name:YOUR WAY TRANSIT LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-447-7305
Mailing Address - Street 1:2614 N. 46 ST. MILWAUKEE WI 53210
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210
Mailing Address - Country:US
Mailing Address - Phone:414-447-7305
Mailing Address - Fax:414-447-7305
Practice Address - Street 1:2614 N. 46 ST. MILWAUKEE WI 53210
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2404
Practice Address - Country:US
Practice Address - Phone:414-447-7305
Practice Address - Fax:414-447-7305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTY J. ROSS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI100021225343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100021225Medicaid