Hartley, Tiaa C.

Hartley, Tiaa C. is an individual health care provider with primary practice located at 1629 Crofton Ctr Ste 18 , Crofton MD 21114-1318. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Hartley, Tiaa C. can be contacted via phone (301) 580-4585.

Contact Information

Primary practice address
1629 Crofton Ctr Ste 18 Crofton MD 21114-1318
Fax: (240) 366-5954
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X U02667 Maryland

Profile Details

NPI number 1770139511
LBN Legal business name Hartley, Tiaa C.
Credentials D.AC, L.AC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Mar 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770139511 NPPES
Maryland MEDICAID 764013700

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