Provider Demographics
NPI:1215126370
Name:STROTHER NURSING & SURGICAL SERVICES LLC
Entity type:Organization
Organization Name:STROTHER NURSING & SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:THURMAN
Authorized Official - Last Name:STROTHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSA
Authorized Official - Phone:240-383-0436
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-0197
Mailing Address - Country:US
Mailing Address - Phone:240-383-0436
Mailing Address - Fax:240-383-0436
Practice Address - Street 1:6305 BRECHIN DR
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-6261
Practice Address - Country:US
Practice Address - Phone:240-383-0436
Practice Address - Fax:240-383-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSA0001246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty