Provider Demographics
NPI:1275827479
Name:SIMPLE AND QUICK MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:SIMPLE AND QUICK MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:AUSTEN-HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-F
Authorized Official - Phone:301-509-5211
Mailing Address - Street 1:5520 CONNECTICUT AVE NW
Mailing Address - Street 2:#LL3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2609
Mailing Address - Country:US
Mailing Address - Phone:202-244-2607
Mailing Address - Fax:202-244-2606
Practice Address - Street 1:5520 CONNECTICUT AVE NW
Practice Address - Street 2:#LL3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2609
Practice Address - Country:US
Practice Address - Phone:202-244-2607
Practice Address - Fax:202-244-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1021277261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care