Hancock, Yolandra
Hancock, Yolandra is an sole proprietor health care provider with primary practice located at 14526 Church St , Upper Marlboro MD 20772-3040. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hancock, Yolandra can be contacted via phone (301) 304-4939.Contact Information
Primary practice address
14526 Church St
Upper Marlboro MD 20772-3040
Phone: (301) 304-4939
Fax: (301) 327-1749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD035513 | District of Columbia |
Profile Details
| NPI number | 1841361086 |
|---|---|
| LBN Legal business name | Hancock, Yolandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Oct 28th, 2021 - about 5 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 | 1841361086 | NPPES |
| Virginia | MEDICAID | 62727379 | |
| Virginia | MEDICAID | 343671300 | |
| Virginia | MEDICAID | 5888180 |
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