Provider Demographics
NPI:1710789581
Name:MELES, EMNET
Entity type:Individual
Prefix:
First Name:EMNET
Middle Name:
Last Name:MELES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2297 VILLAGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5293
Mailing Address - Country:US
Mailing Address - Phone:937-581-5523
Mailing Address - Fax:
Practice Address - Street 1:2297 VILLAGEWOOD CT
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5293
Practice Address - Country:US
Practice Address - Phone:937-581-5523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle