Louderback-Smith, Teaette L
Louderback-Smith, Teaette L is an individual health care provider with primary practice located at 615 W Macphail Rd Ste 206, Bel Air MD 21014-4305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Louderback-Smith, Teaette L can be contacted via phone (410) 638-5101.Contact Information
Primary practice address
615 W Macphail Rd Ste 206
Bel Air MD 21014-4305
Phone: (410) 638-5101
Fax: (410) 638-6854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0061154 | Maryland |
Profile Details
| NPI number | 1831191097 |
|---|---|
| LBN Legal business name | Louderback-Smith, Teaette L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1831191097 | NPPES |
| Maryland | MEDICAID | 405553500 | |
| Maryland | Other | E4860013 | |
| Maryland | Other | 64288501 |
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