Healthcare Provider Details

I. General information

NPI: 1518343599
Provider Name (Legal Business Name): B& E VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17408 CHEROKEE LN
OLNEY MD
20832-2163
US

IV. Provider business mailing address

17408 CHEROKEE LN
OLNEY MD
20832-2163
US

V. Phone/Fax

Practice location:
  • Phone: 240-324-2716
  • Fax:
Mailing address:
  • Phone: 240-324-2716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberHCSA9912124
License Number StateMD

VIII. Authorized Official

Name: NWABIANI EGBARIN
Title or Position: CEO
Credential:
Phone: 301-503-8578