Healthcare Provider Details

I. General information

NPI: 1851696926
Provider Name (Legal Business Name): SILVER MEDICAL EQUIPMENT & SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4303 RHODE ISLAND AVE SUITE 211
BRENTWOOD MD
20722-1452
US

IV. Provider business mailing address

4303 RHODE ISLAND AVE SUITE 211
BRENTWOOD MD
20722-1452
US

V. Phone/Fax

Practice location:
  • Phone: 240-350-1052
  • Fax:
Mailing address:
  • Phone: 240-350-1052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCUS C LEWIS
Title or Position: PRESIDENT
Credential:
Phone: 240-350-1052