Provider Demographics
NPI:1992558779
Name:AMERICAN EAGLE TRANSPORTATION INC
Entity type:Organization
Organization Name:AMERICAN EAGLE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINATRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTABRAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSAADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-797-8757
Mailing Address - Street 1:3511 KARIKAL DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4024
Mailing Address - Country:US
Mailing Address - Phone:919-797-8757
Mailing Address - Fax:
Practice Address - Street 1:3511 KARIKAL DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4024
Practice Address - Country:US
Practice Address - Phone:919-797-8757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347E00000XTransportation ServicesTransportation Broker