MEDICARE: TODD JOHN SLEEMAN CP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1548701402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD JOHN SLEEMAN CP

Provider Business Mailing Address
First Line	:	10515 CALUMET DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4607
Country	:	US
Telephone Number	:	202-604-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	10515 CALUMET DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4607
Country	:	US
Telephone Number	:	202-604-1057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2017
Last Update Date	:	03/13/2017

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Directions to “ TODD JOHN SLEEMAN CP” Practice Location

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