Eric Evans
Individual provider Active NPI Personal Care Attendant · Forestville, MD
NPI 1689175770 · NPPES record last updated Feb 23, 2018
Key facts
- NPI
- 1689175770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3719 Donnell Dr Apt 403
Forestville, MD 20747-3911 - Phone
- (202) 270-7034
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
3719 Donnell Dr Apt 403
Forestville, MD 20747-3911
Mailing address
3719 Donnell Dr Apt 403
Forestville, MD 20747-3911
Phone (202) 270-7034
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- Olufunso K Fakunle
- Family Home Medical Equipment and Supplies
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All providers in Forestville, MD · Personal Care Attendant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.