Provider Demographics
NPI:1063240570
Name:DEMBEL LLC
Entity type:Organization
Organization Name:DEMBEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:SEGNI
Authorized Official - Middle Name:GEDA
Authorized Official - Last Name:HAMDINO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:612-636-8648
Mailing Address - Street 1:2480 MN-100 SOUTH
Mailing Address - Street 2:APT 217
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:612-636-8648
Mailing Address - Fax:
Practice Address - Street 1:2480 MN-100 SOUTH
Practice Address - Street 2:APT 217
Practice Address - City:SAINT LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:612-636-8648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEMBEL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker