Basic Information
| Provider Information | |||||||||
| NPI: | 1881335727 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WHC PHYSICIAN GROUP LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 15TH ST N STE 600 | ||||||||
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| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222012900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035581400 | ||||||||
| FaxNumber: | 7035581445 | ||||||||
| Practice Location | |||||||||
| Address1: | 216 MICHIGAN AVE NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200171095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028776333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2022 | ||||||||
| LastUpdateDate: | 04/05/2022 | ||||||||
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| AuthorizedOfficialLastName: | SCHNEIDER | ||||||||
| AuthorizedOfficialFirstName: | STEPHANIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 7025581403 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.