Provider Demographics
NPI:1992471304
Name:LIR TRANSPORTATION DBA FOX VALLEY CAB
Entity type:Organization
Organization Name:LIR TRANSPORTATION DBA FOX VALLEY CAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GLASHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-734-4545
Mailing Address - Street 1:719 W FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-2365
Mailing Address - Country:US
Mailing Address - Phone:920-734-4545
Mailing Address - Fax:920-734-0557
Practice Address - Street 1:719 W FRANCES ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-2365
Practice Address - Country:US
Practice Address - Phone:920-734-4545
Practice Address - Fax:920-734-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi