Provider Demographics
NPI:1083453963
Name:STEEN, WILL HENRY JR
Entity type:Individual
Prefix:
First Name:WILL
Middle Name:HENRY
Last Name:STEEN
Suffix:JR
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 1:13823 KING FREDERICK WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6900
Mailing Address - Country:US
Mailing Address - Phone:210-422-1750
Mailing Address - Fax:
Practice Address - Street 1:300 MORSE ST NE APT 515
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7489
Practice Address - Country:US
Practice Address - Phone:202-590-1103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant