Ichniowski, Teresa

Ichniowski, Teresa is an individual health care provider with primary practice located at 2730 University Blvd W Suite 714, Wheaton MD 20902-1905. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Ichniowski, Teresa can be contacted via phone (301) 942-2520.

Contact Information

Primary practice address
2730 University Blvd W Suite 714 Wheaton MD 20902-1905
Phone: (301) 942-2520
Fax: (301) 942-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 14713 Maryland

Profile Details

NPI number 1508905209
LBN Legal business name Ichniowski, Teresa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 23rd, 2009 - about 15 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 1508905209 NPPES
Maryland Other 612022-01 BC BS

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