Wossen, Wondu Taddesse
Wossen, Wondu Taddesse is an sole proprietor health care provider with primary practice located at 14333 Laurel Bowie Rd Suite 206, Laurel MD 20708-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wossen, Wondu Taddesse can be contacted via phone (301) 362-0506.Contact Information
Primary practice address
14333 Laurel Bowie Rd Suite 206
Laurel MD 20708-1126
Phone: (301) 362-0506
Fax: (301) 362-0213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D41251 | Maryland |
Profile Details
| NPI number | 1164474391 |
|---|---|
| LBN Legal business name | Wossen, Wondu Taddesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 4th, 2011 - about 13 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 | 1164474391 | NPPES |
| Maryland | MEDICAID | 649741100 |
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