Provider Demographics
NPI:1295425593
Name:ETHIOPIAN TRANSPORTATION INC
Entity type:Organization
Organization Name:ETHIOPIAN TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NDIP
Authorized Official - Last Name:ENOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-554-9064
Mailing Address - Street 1:4924 VALLEY CREST DR APT 308
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-8623
Mailing Address - Country:US
Mailing Address - Phone:804-773-9940
Mailing Address - Fax:
Practice Address - Street 1:4924 VALLEY CREST DR APT 308
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-8623
Practice Address - Country:US
Practice Address - Phone:804-773-9940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker