Provider Demographics
NPI:1811680796
Name:EASYGO & SERVICES LLC
Entity type:Organization
Organization Name:EASYGO & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EDIANETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSIANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-250-4156
Mailing Address - Street 1:1941 S 42ND ST STE 125
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 125
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2942
Practice Address - Country:US
Practice Address - Phone:402-268-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty