Healthcare Provider Details

I. General information

NPI: 1700712940
Provider Name (Legal Business Name): EO AUTO & LOGISTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 DEL MAR CIR APT 36
AURORA CO
80011-8237
US

IV. Provider business mailing address

148 DEL MAR CIR APT 36
AURORA CO
80011-8237
US

V. Phone/Fax

Practice location:
  • Phone: 720-601-5882
  • Fax:
Mailing address:
  • Phone: 720-601-5882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL IHEANYI I OGOKE
Title or Position: CEO
Credential: MD
Phone: 720-601-5882