Healthcare Provider Details

I. General information

NPI: 1558808519
Provider Name (Legal Business Name): AMY DUBIEL BC ACA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 BEL AIR RD
FALLSTON MD
21047-2871
US

IV. Provider business mailing address

2701 BEL AIR RD
FALLSTON MD
21047-2871
US

V. Phone/Fax

Practice location:
  • Phone: 410-838-2800
  • Fax:
Mailing address:
  • Phone: 410-838-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number02361
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: