Provider Demographics
NPI:1043553050
Name:WATEL SOLUTIONS CORP
Entity Type:Organization
Organization Name:WATEL SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:USAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGOGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-603-5826
Mailing Address - Street 1:2150 S ARIZONA AVE
Mailing Address - Street 2:1070
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7725
Mailing Address - Country:US
Mailing Address - Phone:480-603-5826
Mailing Address - Fax:
Practice Address - Street 1:2150 S ARIZONA AVE
Practice Address - Street 2:1070
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7725
Practice Address - Country:US
Practice Address - Phone:480-603-5826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD01949401343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)