Healthcare Provider Details

I. General information

NPI: 1801374228
Provider Name (Legal Business Name): CAPITOL BREATHE FREE SINUS & ALLERGY CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 600
WASHINGTON DC
20006
US

IV. Provider business mailing address

2021 K ST NW STE 600
WASHINGTON DC
20006-1051
US

V. Phone/Fax

Practice location:
  • Phone: 202-888-8365
  • Fax: 833-200-5844
Mailing address:
  • Phone: 202-888-8365
  • Fax: 833-200-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN SWANSON
Title or Position: BILLER
Credential:
Phone: 702-683-1727