Healthcare Provider Details

I. General information

NPI: 1841736907
Provider Name (Legal Business Name): WELLPASS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 NORTH FORT MYER DR SUITE 600
ARLINGTON VA
22209-1807
US

IV. Provider business mailing address

1820 NORTH FORT MYER DR SUITE 600
ARLINGTON VA
22209-1807
US

V. Phone/Fax

Practice location:
  • Phone: 202-419-0152
  • Fax: 202-419-0131
Mailing address:
  • Phone: 202-419-0152
  • Fax: 202-419-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: DAVID KATES
Title or Position: CTO
Credential:
Phone: 410-917-1937