Provider Demographics
NPI:1780779587
Name:CARMAN, LINDA M
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:CARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 BELAIR DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-2606
Mailing Address - Country:US
Mailing Address - Phone:301-809-9400
Mailing Address - Fax:301-809-9307
Practice Address - Street 1:2409 BELAIR DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-2606
Practice Address - Country:US
Practice Address - Phone:301-809-9400
Practice Address - Fax:301-809-9307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment