Provider Demographics
NPI:1679309819
Name:E4 MEDICAL LLC
Entity type:Organization
Organization Name:E4 MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-907-2901
Mailing Address - Street 1:1911 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1822
Mailing Address - Country:US
Mailing Address - Phone:330-907-2901
Mailing Address - Fax:234-719-1510
Practice Address - Street 1:1911 OHIO AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1822
Practice Address - Country:US
Practice Address - Phone:330-907-2901
Practice Address - Fax:234-719-1510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion