Wellington, Shanice
Wellington, Shanice is an individual health care provider with primary practice located at 4451 Parliament Pl Suite A, Lanham MD 20706-1843. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wellington, Shanice can be contacted via phone (301) 577-4333.Contact Information
Primary practice address
4451 Parliament Pl Suite A
Lanham MD 20706-1843
Phone: (301) 577-4333
Fax: (301) 577-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | LBA1683 | Maryland |
Profile Details
| NPI number | 1295266997 |
|---|---|
| LBN Legal business name | Wellington, Shanice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2017 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1295266997 | NPPES |
| Maryland | MEDICAID | 103K00000X |
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