Provider Demographics
NPI:1194300475
Name:A&E HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:A&E HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWAKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNSEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-477-7930
Mailing Address - Street 1:4920 NIAGARA RD STE 408
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1160
Mailing Address - Country:US
Mailing Address - Phone:301-477-7930
Mailing Address - Fax:
Practice Address - Street 1:422 W FRANKLIN ST STE 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1823
Practice Address - Country:US
Practice Address - Phone:301-477-7930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A&E HEALTHCARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-17
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty