Eb Behavioral Health | |
1223 Simms Pl Ne Apt 4 Washington DC 20002-7826 | |
(240) 633-9220 | |
(240) 635-9926 |
Full Name | Eb Behavioral Health |
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Speciality | Clinic/Center |
Location | 1223 Simms Pl Ne Apt 4, Washington, District Of Columbia |
Authorized Official Name and Position | Bukola Morufat Zubair (OWNER OF ENTITY) |
Authorized Official Contact | 2406339220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eb Behavioral Health 3600 Leonardtown Rd Ste 202 Waldorf MD 20601-3647 Ph: (240) 633-9220 | Eb Behavioral Health 1223 Simms Pl Ne Apt 4 Washington DC 20002-7826 Ph: (240) 633-9220 |
NPI Number | 1922672989 |
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Provider Enumeration Date | 05/14/2021 |
Last Update Date | 06/21/2023 |
Certification Date | 06/21/2023 |
Medicare PECOS PAC ID | 6103220785 |
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Medicare Enrollment ID | O20210804000499 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922672989 | NPI | - | NPPES |
Provider Name | Bukola M Zubair |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831788603 PECOS PAC ID: 4284038894 Enrollment ID: I20210804001426 |
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