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Contact Information

PREMIUM HEALTHCARE LLC
8000 TOWERS CRESCENT DR STE 1352
VIENNA, VA22182-6207
 Phone: 251-901-3011
 Fax: 251-901-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for PREMIUM HEALTHCARE LLC · (Female)

NPI # 1982379590
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2021
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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