Healthcare Provider Details
I. General information
NPI: 1821485202
Provider Name (Legal Business Name): DC DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2015
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
77 P ST NE
WASHINGTON DC
20002-3350
US
IV. Provider business mailing address
77 P ST NE
WASHINGTON DC
20002-3350
US
V. Phone/Fax
- Phone: 202-576-7130
- Fax:
- Phone: 202-576-7130
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DJINGE
LINDSAY
Title or Position: MEDICAL OFFICER
Credential: MD
Phone: 202-442-5878