Ens Psychiatry Llc | |
1629 K St Nw Ste 300 Washington DC 20006-1631 | |
(330) 396-0698 | |
Not Available |
Full Name | Ens Psychiatry Llc |
---|---|
Speciality | Clinic/Center |
Location | 1629 K St Nw Ste 300, Washington, District Of Columbia |
Authorized Official Name and Position | Ethan Nathaniel Sales (PSYCHIATRIST) |
Authorized Official Contact | 3303960698 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ens Psychiatry Llc 4209 Urn St Capitol Heights MD 20743-5662 Ph: (234) 759-9226 | Ens Psychiatry Llc 1629 K St Nw Ste 300 Washington DC 20006-1631 Ph: (330) 396-0698 |
NPI Number | 1740063882 |
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Provider Enumeration Date | 08/14/2023 |
Last Update Date | 12/22/2023 |
Medicare PECOS PAC ID | 7416311246 |
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Medicare Enrollment ID | O20230913000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740063882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ethan Nathaniel Sales |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154988053 PECOS PAC ID: 1456713775 Enrollment ID: I20230913001002 |
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