Healthcare Provider Details

I. General information

NPI: 1275827479
Provider Name (Legal Business Name): SIMPLE AND QUICK MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 CONNECTICUT AVE NW #LL3
WASHINGTON DC
20015-2609
US

IV. Provider business mailing address

5520 CONNECTICUT AVE NW #LL3
WASHINGTON DC
20015-2609
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-2607
  • Fax: 202-244-2606
Mailing address:
  • Phone: 202-244-2607
  • Fax: 202-244-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberRN1021277
License Number StateDC

VIII. Authorized Official

Name: MS. JANET CECILIA AUSTEN-HERMAN
Title or Position: PRESIDENT
Credential: CRNP-F
Phone: 301-509-5211