Organization · NPI-2

46&2 Healthcare, LLC

Family Medicine · Fairfax, VA

NPI number1962395616
StatusActive
Last updated in NPPESJun 2, 2025

Details

NPI
1962395616
Entity type
Organization (NPI-2)
Legal business name
46&2 Healthcare, LLC
Organization subpart
No
Enumeration date
Jun 2, 2025
Certification date
Jun 1, 2025
Last updated
Jun 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3025 Hamaker Ct Ste 350
Fairfax, VA 22031-2243

Phone 703-573-6400 · Fax 703-641-5821

Mailing address

5211 Spring Branch Blvd
Dumfries, VA 22025-3048

Phone 317-460-1940

Authorized official

David Dewitte
Owner
3174601940

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