Provider Demographics
NPI:1659496842
Name:WHITMAN-WALKER CLINIC
Entity Type:Organization
Organization Name:WHITMAN-WALKER CLINIC
Other - Org Name:WHITMAN-WALKER CLINIC OF NORTHERN VIRGINIA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIR., BUS. DEV. & PUBLIC FUNDING
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-797-3515
Mailing Address - Street 1:1407 S ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3819
Mailing Address - Country:US
Mailing Address - Phone:202-797-3515
Mailing Address - Fax:202-797-4421
Practice Address - Street 1:5232 LEE HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1621
Practice Address - Country:US
Practice Address - Phone:703-237-4900
Practice Address - Fax:703-237-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center