1033312483 NPI number — EXCELLENT HEALTH CARE SERVICES INC.

Table of content: DR. ALEXANDER SCOTT WHELAN MD (NPI 1851702054)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033312483 NPI number — EXCELLENT HEALTH CARE SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXCELLENT HEALTH CARE SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033312483
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 EDGEBROOK CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27703-4904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-730-3756
Provider Business Mailing Address Fax Number:
919-361-1891

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13039 QUATE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODBRIDGE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22192-5323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-580-8988
Provider Business Practice Location Address Fax Number:
703-580-8977
Provider Enumeration Date:
06/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WINNER
Authorized Official First Name:
BRIGHT
Authorized Official Middle Name:
EFE
Authorized Official Title or Position:
CHAIRMAN
Authorized Official Telephone Number:
919-730-3756

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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