Mciver, Mandisa

Mciver, Mandisa is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mciver, Mandisa can be contacted via phone (301) 565-4280.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2916
Phone: (301) 565-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007-01055 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD043816 District of Columbia

Profile Details

NPI number 1235321456
LBN Legal business name Mciver, Mandisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2007
Last updated May 25th, 2016 - about 8 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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