Hartsell, Theresa

Hartsell, Theresa is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Hartsell, Theresa can be contacted via phone (410) 955-6353.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-6353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 0101265101 Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 207-02441 North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X D58613 Maryland

Profile Details

NPI number 1295785749
LBN Legal business name Hartsell, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 16th, 2022 - about 2 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 1295785749 NPPES
Maryland MEDICAID 512208200

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