Wakhanala, Joseph Atsianzale
Wakhanala, Joseph Atsianzale is an sole proprietor health care provider with primary practice located at 7333 New Hampshire Ave Suite 905, Takoma Park MD 20912-6958. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wakhanala, Joseph Atsianzale can be contacted via phone (301) 445-2258.Contact Information
Primary practice address
7333 New Hampshire Ave Suite 905
Takoma Park MD 20912-6958
Phone: (301) 445-2258
Fax: (301) 445-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2248 | Maryland |
Profile Details
| NPI number | 1619144359 |
|---|---|
| LBN Legal business name | Wakhanala, Joseph Atsianzale |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2008 |
| Last updated | Oct 30th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619144359 | NPPES |
| Maryland | MEDICAID | 011019100 |
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