Provider Demographics
NPI:1538371208
Name:EPARD, DEBRA P (DC)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:P
Last Name:EPARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 CAMERON CT
Mailing Address - Street 2:SUITE 602
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-495-6490
Mailing Address - Fax:301-495-6495
Practice Address - Street 1:8830 CAMERON CT
Practice Address - Street 2:SUITE 602
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-495-6490
Practice Address - Fax:301-495-6495
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54695501OtherBCBS