MEDICARE: BECHEM A AYUK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	HHA14733	DC

General Provider Information

NPI Number	:	1275185670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BECHEM A AYUK

Provider Business Mailing Address
First Line	:	2551 17TH ST NW STE 255117
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2831
Country	:	US
Telephone Number	:	202-845-0807
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 17TH ST NW APT 307
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-2851
Country	:	US
Telephone Number	:	202-845-0807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	12/11/2019

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Directions to “ BECHEM A AYUK ” Practice Location

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