Provider Demographics
NPI:1417136441
Name:PROFESSIONAL RESPIRATORY SERVICES
Entity Type:Organization
Organization Name:PROFESSIONAL RESPIRATORY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHIAT
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:410-363-4717
Mailing Address - Street 1:17 OAK HILL CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1422
Mailing Address - Country:US
Mailing Address - Phone:410-363-4717
Mailing Address - Fax:
Practice Address - Street 1:17 OAK HILL CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1422
Practice Address - Country:US
Practice Address - Phone:410-363-4717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL0001369332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies