Provider Demographics
NPI:1053783324
Name:A-N-T ENTERPRISES, LLC
Entity type:Organization
Organization Name:A-N-T ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-744-9633
Mailing Address - Street 1:5910 77TH ST
Mailing Address - Street 2:A-N-T TRANSPORTATION SUITE D
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-4103
Mailing Address - Country:US
Mailing Address - Phone:262-744-9633
Mailing Address - Fax:262-764-3442
Practice Address - Street 1:5910 77TH ST
Practice Address - Street 2:A-N-T TRANSPORTATION SUITE D
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-4103
Practice Address - Country:US
Practice Address - Phone:262-744-9633
Practice Address - Fax:262-764-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)