Provider Demographics
NPI:1548387814
Name:AIR SUPPORT THERAPIES INC
Entity Type:Organization
Organization Name:AIR SUPPORT THERAPIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-592-5395
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:UPPER FALLS
Mailing Address - State:MD
Mailing Address - Zip Code:21156-0188
Mailing Address - Country:US
Mailing Address - Phone:410-592-5395
Mailing Address - Fax:410-592-5396
Practice Address - Street 1:9512 BELAIR RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1506
Practice Address - Country:US
Practice Address - Phone:410-592-5395
Practice Address - Fax:410-592-5396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03178471332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK9890001OtherCAREFIRST BCBS
MD542888-01OtherCAREFIRST BCBS
MD542888-01OtherCAREFIRST BCBS