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Contact Information

YOHANNES A HAILU
100 SASSAFRAS ST
HUTTO, TX78634
 Phone: 512-947-1306
 Fax: 214-594-8385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Secured Medical Transport (VAN)

343800000X
Indicates primary specialty

NPI Profile & details for YOHANNES A HAILU · (Male)

NPI # 1053837294
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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