Provider Demographics
NPI:1467078741
Name:ALEMAYHUE, YOHANNES SIMUR
Entity Type:Individual
Prefix:
First Name:YOHANNES
Middle Name:SIMUR
Last Name:ALEMAYHUE
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 1:1920 S HELENA ST APT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4037
Mailing Address - Country:US
Mailing Address - Phone:303-502-0771
Mailing Address - Fax:
Practice Address - Street 1:1920 S HELENA ST APT C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-4037
Practice Address - Country:US
Practice Address - Phone:303-502-0771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle