Provider Demographics
NPI:1558050476
Name:ELNAZER LLC
Entity Type:Organization
Organization Name:ELNAZER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUBAKR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-680-7547
Mailing Address - Street 1:8713 W TONOPAH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-6402
Mailing Address - Country:US
Mailing Address - Phone:623-680-7547
Mailing Address - Fax:
Practice Address - Street 1:8713 W TONOPAH DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-6402
Practice Address - Country:US
Practice Address - Phone:623-680-7547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)