Provider Demographics
NPI:1043664154
Name:SHAMAS ENTERPRISES
Entity type:Organization
Organization Name:SHAMAS ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-651-0972
Mailing Address - Street 1:10410 W COLDSPRING RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-2608
Mailing Address - Country:US
Mailing Address - Phone:414-651-0972
Mailing Address - Fax:
Practice Address - Street 1:10410 W COLDSPRING RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-2608
Practice Address - Country:US
Practice Address - Phone:414-651-0972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WID4008976932104343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)