Provider Demographics
NPI:1740813336
Name:E&T TRANSPORTATION, LLC
Entity type:Organization
Organization Name:E&T TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBADWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-452-0711
Mailing Address - Street 1:1708 W ASH DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1469
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1708 W ASH DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1469
Practice Address - Country:US
Practice Address - Phone:440-822-5539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)