Fackler, Tamara K
Fackler, Tamara K is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 320, Annapolis MD 21401-3046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Fackler, Tamara K can be contacted via phone (410) 571-8733.Contact Information
Primary practice address
2002 Medical Pkwy Suite 320
Annapolis MD 21401-3046
Phone: (410) 571-8733
Fax: (410) 571-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0047532 | Maryland |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | D0047532 | Maryland |
Profile Details
| NPI number | 1447208657 |
|---|---|
| LBN Legal business name | Fackler, Tamara K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447208657 | NPPES |
| Maryland | MEDICAID | 318402100 |
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