Healthcare Provider Details

I. General information

NPI: 1689615080
Provider Name (Legal Business Name): AMERICAN HOME MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 12/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8803 WALKER MILL RD
CAPITOL HEIGHTS MD
20743-4922
US

IV. Provider business mailing address

8803 WALKER MILL RD 12
CAPITOL HEIGHTS MD
20743-4922
US

V. Phone/Fax

Practice location:
  • Phone: 301-333-0201
  • Fax: 301-333-0202
Mailing address:
  • Phone: 301-333-0201
  • Fax: 301-333-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberR954
License Number StateMD

VIII. Authorized Official

Name: CHRISTOPHER WILLIAM BOWMAN
Title or Position: PRESIDENT
Credential:
Phone: 301-333-0201