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CHARLES W DAVIS II MD LLC NPI 1902243611


NPI Information

NPI: 1902243611
Provider Name: CHARLES W DAVIS II MD LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
331 OAK MANOR DR
SUITE 201
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 625-5050
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CHARLES W DAVIS II MD LLC is a durable medical equipment medical supplies in Glen Burnie, MD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CHARLES W DAVIS II MD LLC NPI is 1902243611. The provider is registered as an organization entity type.

The provider's business location address is:

331 OAK MANOR DR
SUITE 201
GLEN BURNIE, MD
ZIP 21061-548
Phone: (410) 625-5050
Fax: (410) 766-1404

The provider's authorized official is Charles W Davis .
The authorized official title is Sole Manager and has the following contact phone number (410) 625-5050.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 11/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16525460001OTHERMARYLANDMEDICARE DME
2245901900OTHERMARYLANDMEDICAL ASSISTANCE DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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