Bunn, Antjuan Mandwell

Bunn, Antjuan Mandwell is an sole proprietor health care provider with primary practice located at 8147 Baltimore Ave Ste C , College Park MD 20740-2492. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Bunn, Antjuan Mandwell can be contacted via phone (240) 398-1909.

Contact Information

Primary practice address
8147 Baltimore Ave Ste C College Park MD 20740-2492
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 221886 Maryland

Profile Details

NPI number 1790316206
LBN Legal business name Bunn, Antjuan Mandwell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2020
Last updated Feb 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers