Chazbro Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHAZBRO INC

Practice address

405 Ritchie Hwy
Severna Park, MD 21146-2910

Phone

(410) 544-1302

Fax

(410) 544-3738

NPI assigned

Apr 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lori L Fisher, CPED

Title

Office Manager

Phone

(410) 544-1302

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zimmermann's Shoes Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1003939372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462910",
            "telephone_number": "410-544-1302",
            "fax_number": "410-544-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RITCHIE HWY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462910",
            "telephone_number": "410-544-1302",
            "fax_number": "410-544-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAZBRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-544-1302",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158778101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimmermann's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.