Provider Demographics
NPI:1306616222
Name:BOOK BOOK, JOSEPH B
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:BOOK BOOK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N84W15920 MENOMONEE AVE
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-3074
Mailing Address - Country:US
Mailing Address - Phone:614-705-8779
Mailing Address - Fax:
Practice Address - Street 1:N84W15920 MENOMONEE AVE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3074
Practice Address - Country:US
Practice Address - Phone:614-705-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)