Tem, Stalone Wung
Tem, Stalone Wung is an individual health care provider with primary practice located at 11505 Duckettown Rd , Laurel MD 20708-9708. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Tem, Stalone Wung can be contacted via phone (505) 557-7764.Contact Information
Primary practice address
11505 Duckettown Rd
Laurel MD 20708-9708
Phone: (505) 557-7764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1154049450 |
|---|---|
| LBN Legal business name | Tem, Stalone Wung |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | Aug 22nd, 2022 - about 4 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 | 1154049450 | NPPES |
| District of Columbia | MEDICAID | 70344063 | |
| District of Columbia | MEDICAID | 000000001 |
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