Provider Demographics
NPI:1407532518
Name:E&T EXECUTIVE LLC
Entity Type:Organization
Organization Name:E&T EXECUTIVE LLC
Other - Org Name:EMPOWERED WHEELS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OBID
Authorized Official - Middle Name:
Authorized Official - Last Name:NARZIEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-300-8100
Mailing Address - Street 1:1660 INTERNATIONAL DR STE 607
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4848
Mailing Address - Country:US
Mailing Address - Phone:571-551-1011
Mailing Address - Fax:
Practice Address - Street 1:1660 INTERNATIONAL DR STE 607
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4848
Practice Address - Country:US
Practice Address - Phone:571-551-1011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)