Minnis-Dyson, Wanda Renee

Minnis-Dyson, Wanda Renee is an individual health care provider with primary practice located at 650 Pennsylvania Ave Se Suite 250, Washington DC 20003-4318. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Minnis-Dyson, Wanda Renee can be contacted via phone (202) 575-4660.

Contact Information

Primary practice address
650 Pennsylvania Ave Se Suite 250 Washington DC 20003-4318
Phone: (202) 575-4660
Fax: (202) 547-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD19253 District of Columbia

Profile Details

NPI number 1093837460
LBN Legal business name Minnis-Dyson, Wanda Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Oct 11th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093837460 NPPES
District of Columbia MEDICAID 0491820

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