Healthcare Provider Details

I. General information

NPI: 1720115983
Provider Name (Legal Business Name): AMERIHEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5934 WOODFIELD ESTATES DR
ALEXANDRIA VA
22310-1872
US

IV. Provider business mailing address

5934 WOODFIELD ESTATES DR
ALEXANDRIA VA
22310-1872
US

V. Phone/Fax

Practice location:
  • Phone: 703-835-0827
  • Fax:
Mailing address:
  • Phone: 703-835-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNAT1000250
License Number StateDC

VIII. Authorized Official

Name: DR. THEODROS DAGNEW
Title or Position: PRESIDENT
Credential:
Phone: 703-835-0827