Provider Demographics
NPI:1518160068
Name:DRS ERKENBECK SKILLING KOWALSKI & COOPER CHTD
Entity Type:Organization
Organization Name:DRS ERKENBECK SKILLING KOWALSKI & COOPER CHTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-656-4603
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:SUITE 715
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-656-4603
Mailing Address - Fax:301-654-2559
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 715
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-656-4603
Practice Address - Fax:301-654-2559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0030669261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC408751Medicare PIN