Konchou, Ida Mabelle
Konchou, Ida Mabelle is an sole proprietor health care provider with primary practice located at 6731 New Hampshire Ave Apt 409 , Takoma Park MD 20912-2801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Konchou, Ida Mabelle can be contacted via phone (202) 545-0935.Contact Information
Primary practice address
6731 New Hampshire Ave Apt 409
Takoma Park MD 20912-2801
Phone: (202) 545-0935
Fax: (202) 545-0934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R207705 | Maryland |
Profile Details
| NPI number | 1134482078 |
|---|---|
| LBN Legal business name | Konchou, Ida Mabelle |
| Credentials | HHA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Mar 20th, 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.
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