MEDICARE: BIONICARE MEDICAL TECHNOLOGIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	D01544	MD
2	332B00000X	Durable Medical Equipment & Medical Supplies	022252	MD

General Provider Information

NPI Number	:	1467415984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIONICARE MEDICAL TECHNOLOGIES INC

Provider Business Mailing Address
First Line	:	53 LOVETON CIRCLE
Second Line	:
City	:	SPARKS
State	:	MD
Zip	:	21152
Country	:	US
Telephone Number	:	410-472-1888
Fax Number	:	410-472-1352

Provider Business Practice Location Address
First Line	:	53 LOVETON CIRCLE
Second Line	:
City	:	SPARKS
State	:	MD
Zip	:	21152
Country	:	US
Telephone Number	:	410-472-1888
Fax Number	:	410-472-1352

Authorized Official
Title or Position	:	CFO
Name	:	MR. STEVE WHITWORTH
Credential	:	CFO
Telephone Number	:	410-472-1888

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	08/22/2020

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