Provider Demographics
NPI:1972380426
Name:SEME, DAWIT
Entity Type:Individual
Prefix:
First Name:DAWIT
Middle Name:
Last Name:SEME
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 1:19328 E DICKENSON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7682
Mailing Address - Country:US
Mailing Address - Phone:720-369-0101
Mailing Address - Fax:
Practice Address - Street 1:19328 E DICKENSON PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-7682
Practice Address - Country:US
Practice Address - Phone:720-369-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCNSG86347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle