Provider Demographics
NPI:1679334247
Name:ZERUBBABLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:ZERUBBABLE TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:ABDISSA
Authorized Official - Middle Name:F
Authorized Official - Last Name:BIRRU
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:510-586-5799
Mailing Address - Street 1:5060 DELLERS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4869
Mailing Address - Country:US
Mailing Address - Phone:510-586-5799
Mailing Address - Fax:
Practice Address - Street 1:5060 DELLERS GLEN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4869
Practice Address - Country:US
Practice Address - Phone:510-586-5799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)