Provider Demographics
NPI:1871508366
Name:NEUROSCIENCE CONSULTANTS, PLC
Entity type:Organization
Organization Name:NEUROSCIENCE CONSULTANTS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-620-9617
Mailing Address - Street 1:PO BOX 79429
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0429
Mailing Address - Country:US
Mailing Address - Phone:301-620-9762
Mailing Address - Fax:301-624-5731
Practice Address - Street 1:12007 SUNRISE VALLEY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3479
Practice Address - Country:US
Practice Address - Phone:703-478-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA463890C2OtherMAMSI
VA463890C2OtherALLIANCE
VA223961OtherANTHEM
DC4571OtherCAREFIRST DC
VA463890C2OtherMAMSI
VA=========OtherTRICARE