Healthcare Provider Details

I. General information

NPI: 1962327148
Provider Name (Legal Business Name): QUICK CARE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4656 LIVINGSTON RD SE
WASHINGTON DC
20032-3149
US

IV. Provider business mailing address

4656 LIVINGSTON RD SE
WASHINGTON DC
20032-3149
US

V. Phone/Fax

Practice location:
  • Phone: 301-536-0044
  • Fax: 410-630-7505
Mailing address:
  • Phone: 301-536-0044
  • Fax: 410-630-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EJERENWA COLMAN
Title or Position: CEO
Credential:
Phone: 301-536-0044