Provider Demographics
NPI:1861932428
Name:BABB, EDGAR (RRT)
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:
Last Name:BABB
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DEMEL CT
Mailing Address - Street 2:1C
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3490
Mailing Address - Country:US
Mailing Address - Phone:443-992-3543
Mailing Address - Fax:
Practice Address - Street 1:4 DEMEL CT
Practice Address - Street 2:1C
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3490
Practice Address - Country:US
Practice Address - Phone:443-992-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL0005156227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered