Provider Demographics
NPI:1346754264
Name:HEALTHY CONNECTIONS BOWIE
Entity Type:Organization
Organization Name:HEALTHY CONNECTIONS BOWIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-860-0305
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-0188
Mailing Address - Country:US
Mailing Address - Phone:410-392-3719
Mailing Address - Fax:410-392-2675
Practice Address - Street 1:4000 MITCHELLVILLE RD STE B322
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3176
Practice Address - Country:US
Practice Address - Phone:301-860-0305
Practice Address - Fax:301-860-0307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty