Demetrius Braxton
Orthotic Fitter
9703 Starboard Ct
Cheltenham
, Maryland 20623-1357
Demetrius Braxton
Orthotic Fitter
9703 Starboard Ct
Cheltenham
, Maryland 20623-1357
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Demetrius Braxton
- Po Box 582
- Cheltenham, MD
- Zip : 20623-0582
- Phone :
Second Address
- Demetrius Braxton
- 9703 Starboard Ct
- Cheltenham, MD
- Zip : 20623-1357
- Fax : (301) 782-9769
- Phone : (202) 431-3880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | MD |
National Provider Identifier
| NPI | 1508041286 |
|---|---|
| Provider Name | Demetrius Braxton |
| First Address | Cheltenham, MD 20623-0582 |
| Second Address | Cheltenham, MD 20623-1357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2007 |
| Last Update Date | 31/12/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.