Provider Demographics
NPI:1679363204
Name:TEMESGEN, BEZAWIT (MEDICAL TRANSPORT)
Entity type:Individual
Prefix:
First Name:BEZAWIT
Middle Name:
Last Name:TEMESGEN
Suffix:
Gender:
Credentials:MEDICAL TRANSPORT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:863 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2172
Mailing Address - Country:US
Mailing Address - Phone:571-484-3061
Mailing Address - Fax:
Practice Address - Street 1:863 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2172
Practice Address - Country:US
Practice Address - Phone:571-484-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)