Harvey, Terry Ellen

Harvey, Terry Ellen is an individual health care provider with primary practice located at 621 Kelly Rd , Cumberland MD 21502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harvey, Terry Ellen can be contacted via phone (301) 722-3270.

Contact Information

Primary practice address
621 Kelly Rd Cumberland MD 21502
Fax: (301) 722-3276
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R059699 Maryland

Profile Details

NPI number 1225079098
LBN Legal business name Harvey, Terry Ellen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated May 23rd, 2018 - about 7 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 1225079098 NPPES
Maryland Other 211828 MEDICARE FQHC
Maryland MEDICAID 4825012 01 MEDICARE FQHC

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