Individual
ERNEST IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14163 CASTLE BLVD, SILVER SPRING, MD 20904-4756
(202) 751-1142
Mailing address
14163 CASTLE BLVD, SILVER SPRING, MD 20904-4756
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
HHA12901
DC
374U00000X
Home Health Aide
Primary
HHA12901
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48404175500
MARYLAND PHYSICIAN CARE
—
Enumeration date
07/19/2017
Last updated
11/09/2021
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