Provider Demographics
NPI:1427835206
Name:FELEKE, NETSANET AYALEW
Entity type:Individual
Prefix:
First Name:NETSANET
Middle Name:AYALEW
Last Name:FELEKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 S YAMPA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5337
Mailing Address - Country:US
Mailing Address - Phone:720-953-0346
Mailing Address - Fax:
Practice Address - Street 1:2175 ACADEMY CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1695
Practice Address - Country:US
Practice Address - Phone:571-501-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)