Provider Demographics
NPI:1952688582
Name:DAVID R. BARWELL, M.A., C.C.C.-A, LTD.
Entity Type:Organization
Organization Name:DAVID R. BARWELL, M.A., C.C.C.-A, LTD.
Other - Org Name:DAVID BARWELL
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-840-5517
Mailing Address - Street 1:941 RUSSELL AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-6205
Mailing Address - Country:US
Mailing Address - Phone:301-840-5517
Mailing Address - Fax:301-840-5518
Practice Address - Street 1:941 RUSSELL AVE
Practice Address - Street 2:UNIT A
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-6206
Practice Address - Country:US
Practice Address - Phone:301-840-5517
Practice Address - Fax:301-840-5518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00069332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment