Healthcare Provider Details
I. General information
NPI: 1144941170
Provider Name (Legal Business Name): BUMA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US
IV. Provider business mailing address
1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US
V. Phone/Fax
- Phone: 240-462-1557
- Fax:
- Phone: 240-462-1557
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAUDINE
NANA
TCHAPCHET
Title or Position: CEO
Credential:
Phone: 240-462-1557