Janet Ranti Aiyegbusi, HAIR LOSS SPECIALIST

Individual provider Active NPI Prosthetics Case Management · Capitol Heights, MD

NPI 1699378455 · NPPES record last updated Nov 16, 2020

Key facts

NPI
1699378455
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetics Case Management 1744P3200X
License
420453 (MD)
Practice address
9171 Central Ave
Capitol Heights, MD 20743-3837
Phone
(301) 627-3707
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
420453MDMDProsthetics Case Management

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management
Group: 193400000X SINGLE SPECIALTY GROUP
1744P3200X 420453 MD Yes

Addresses

Primary practice location

9171 Central Ave
Capitol Heights, MD 20743-3837

Mailing address

9300 Frensham CT
Laurel, MD 20708-2855
Phone (202) 907-5998

Other providers in Capitol Heights, MD

All providers in Capitol Heights, MD · Prosthetics Case Management in Maryland

Sources for this page

Verify at the official NPI Registry.