Doctor Name: | MR. WONDEMNEH ALEMNEH DERESSE |
NPI Number: | 1487039657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OWNER |
License Number: | B-10018 |
Business Practice Address: | 19142 E, Hampden Dr Aurora, CO - 80013 |
Business Phone Number: | 7202265915 |
Business Fax Number: | 7722645915 |
Mailing Address: | 19142 E Hampden Dr, AURORA |
State: | CO |
Postal Code: | 800135408 |
Phone Number: | 7202265915 |
Fax Number: | 7722645915 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | B-10018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |