Seble Wongel Dejene, is a
Nutritionist - Nutrition, Education based in Reston, Virginia. Seble Wongel Dejene is licensed to practice in * (Not Available) (license number ) and her current practice location is
1801 Robert Fulton Dr Ste 480, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 261-7000.
NPI number for Seble Wongel Dejene is 1245611664 and her current mailing address is 1801 Robert Fulton Dr Ste 480, Reston, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245611664.
Healthcare Provider's Profile
| Full Name | Seble Wongel Dejene |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist - Nutrition, Education |
|---|
| Location | 1801 Robert Fulton Dr Ste 480, Reston, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245611664
- Provider Enumeration Date: 06/11/2015
- Last Update Date: 06/11/2015
Medical Identifiers
Medical identifiers for Seble Wongel Dejene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245611664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Seble Wongel Dejene is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Seble Wongel Dejene,
1801 Robert Fulton Dr Ste 480,
Reston, VA 20191-5481
Ph: (703) 261-7000 | Seble Wongel Dejene,
1801 Robert Fulton Dr Ste 480,
Reston, VA 20191-5481
Ph: (703) 261-7000 |
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