Edwin Bup Nfor
Individual provider Active NPI Personal Care Attendant · Adelphi, MD
NPI 1992200174 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1992200174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9300 Adelphi Rd Apt 202
Adelphi, MD 20783-2003 - Phone
- (240) 423-9534
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
9300 Adelphi Rd Apt 202
Adelphi, MD 20783-2003
Mailing address
9300 Adelphi Rd Apt 202
Adelphi, MD 20783-2003
Phone (240) 423-9534
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All providers in Adelphi, MD · Personal Care Attendant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.