Doctor Name: | GELILA HABTEMARIAM |
NPI Number: | 1508294364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 287 |
Business Practice Address: | 24655 Nettle Mill Sq Stone Ridge, VA - 201052993 |
Business Phone Number: | 7032978139 |
Business Fax Number: | 7032978139 |
Mailing Address: | 24655 Nettle Mill Sq, STONE RIDGE |
State: | VA |
Postal Code: | 201052993 |
Phone Number: | 7032978139 |
Fax Number: | 7032978139 |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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. |