MEDICARE: US WELLNESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency		MD

General Provider Information

NPI Number	:	1700011210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US WELLNESS, INC.

Provider Business Mailing Address
First Line	:	20400 OBSERVATION DRIVE
Second Line	:	SUITE 100
City	:	GERMANTOWN
State	:	MD
Zip	:	20876
Country	:	US
Telephone Number	:	301-926-6099
Fax Number	:	301-926-4580

Provider Business Practice Location Address
First Line	:	20400 OBSERVATION DR
Second Line	:	SUITE 100
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4085
Country	:	US
Telephone Number	:	301-926-6099
Fax Number	:	301-926-4580

Authorized Official
Title or Position	:	CFO
Name	:	BARBARA E DOANE
Credential	:
Telephone Number	:	301-926-6099

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	05/28/2009

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Directions to “US WELLNESS, INC. ” Practice Location

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