Provider Demographics
NPI:1790357044
Name:STANDARD HEALTHCARE PLUS LLC
Entity Type:Organization
Organization Name:STANDARD HEALTHCARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YENCHI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-643-1063
Mailing Address - Street 1:2403 BROOKE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1861
Mailing Address - Country:US
Mailing Address - Phone:240-643-1063
Mailing Address - Fax:
Practice Address - Street 1:8102 KITTAMA DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3155
Practice Address - Country:US
Practice Address - Phone:240-643-1063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty