ETN
NPI 1790221422
Private Vehicle in Falls Church, VA
Active since January 19, 2017
About Etn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETN (NPI 1790221422) is a healthcare organization registered as a private vehicle in Falls Church, Virginia and active in the NPI registry since January 2017. The organization lists Drae J Watkins, Ceo, as its authorized official.
NPPES Registry Identity
NPI1790221422
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameELITE TRANSPO
Location Address2019 BURFOOT STFalls Church, VA 22043-1346
Mailing Address2019 Burfoot StFalls Church, VA 22043-1346 · (703) 639-7954 · Fax (815) 642-4231
Phone(703) 639-7954
Fax(815) 642-4231
Organization SubpartNo
Authorized OfficialDrae J WatkinsCeo · (703) 639-7954
Enumeration DateJanuary 19, 2017
✔ NPI 1790221422 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in VA · 08128654
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 08128654 (VA)
Also ListedAir CarrierTaxonomy 344800000X · License 08128654 (VA)
Also ListedTransportation BrokerTaxonomy 347E00000X · License 08128654 (VA)
2019 BURFOOT ST, Falls Church, VA 22043
Other Names 1
Doing Business AsEtn
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790221422, enumerated as an "organization" on January 19, 2017.
The provider is located at 2019 BURFOOT ST FALLS CHURCH, VA 22043 and the phone number is (703) 639-7954.
Private Vehicle with taxonomy code 347C00000X.