Provider Demographics
NPI:1285331165
Name:E & T TRANSPORT GROUP LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:E & T TRANSPORT GROUP LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:TWUMASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-510-6832
Mailing Address - Street 1:3351 CORRIDOR MARKETPLACE STE 400-21
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2379
Mailing Address - Country:US
Mailing Address - Phone:240-510-6832
Mailing Address - Fax:
Practice Address - Street 1:4445 CORPORATION LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3262
Practice Address - Country:US
Practice Address - Phone:571-478-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)