Healthcare Provider Details

I. General information

NPI: 1801014436
Provider Name (Legal Business Name): DAVID QUINCY ALBRITTON RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 BUTLER AVE
MARTINSBURG WV
25401-9990
US

IV. Provider business mailing address

102-10 TIMBERLAKE TER
STEPHENS CITY VA
22655-3515
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-0811
  • Fax: 304-262-7435
Mailing address:
  • Phone: 540-869-6199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberLRTR1081
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number0117005280
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: