Riverside Mental And Medical Clinic
LBN: Benjamin A. Adewale Md Pc
Riverside Mental And Medical Clinic is an health care organization with primary practice located at 25 S Quaker Ln Suite 4, Alexandria VA 22314-4585. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty.
Benjamin A. Adewale Md Pc can be contacted via phone (571) 257-4398, or through Adewale, Benjamin via phone (703) 569-8028.
Contact Information
Primary practice address
25 S Quaker Ln Suite 4
Alexandria VA 22314-4585
Phone: (571) 257-4398
Fax: (703) 823-4407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MD22004 | District of Columbia |
Profile Details
NPI number | 1992073084 |
---|---|
LBN Legal business name | Benjamin A. Adewale Md Pc |
DBA Doing business as | Riverside Mental And Medical Clinic |
Authorized official | Adewale, Benjamin Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 5th, 2011 |
Last updated | Jul 30th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992073084 | NPPES |
District of Columbia | MEDICAID | 031768500 |
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