Provider Demographics
NPI:1215754064
Name:ET NON EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:ET NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-724-0490
Mailing Address - Street 1:929 SHINING WIRE WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:929 SHINING WIRE WAY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5736
Practice Address - Country:US
Practice Address - Phone:919-724-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)