Provider Demographics
NPI:1659136133
Name:SHEWA TRUCKING LLC
Entity Type:Organization
Organization Name:SHEWA TRUCKING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TSENA
Authorized Official - Middle Name:MENGISTU
Authorized Official - Last Name:BERHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-535-8895
Mailing Address - Street 1:336 CRESRHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032
Mailing Address - Country:US
Mailing Address - Phone:470-535-8895
Mailing Address - Fax:
Practice Address - Street 1:336 CRESRHAVEN DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032
Practice Address - Country:US
Practice Address - Phone:470-535-8895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)