Provider Demographics
NPI:1790499937
Name:ENAT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ENAT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREJE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-610-8973
Mailing Address - Street 1:4156 GORMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-2618
Mailing Address - Country:US
Mailing Address - Phone:937-610-8973
Mailing Address - Fax:
Practice Address - Street 1:4156 GORMAN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-2618
Practice Address - Country:US
Practice Address - Phone:937-610-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)