Provider Demographics
NPI:1972178267
Name:BAKINDE, SCHNEIDER
Entity Type:Individual
Prefix:
First Name:SCHNEIDER
Middle Name:
Last Name:BAKINDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11907 PARKLAWN DR APT 301
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2634
Mailing Address - Country:US
Mailing Address - Phone:301-219-6330
Mailing Address - Fax:
Practice Address - Street 1:11907 PARKLAWN DR APT 301
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2634
Practice Address - Country:US
Practice Address - Phone:301-219-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00169992376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide