Sellers-Hannibal, Tanya R

Sellers-Hannibal, Tanya R is an individual health care provider with primary practice located at 10085 Red Run Blvd Suite 305, Owings Mills MD 21117-4836. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Sellers-Hannibal, Tanya R can be contacted via phone (410) 581-8331.

Contact Information

Primary practice address
10085 Red Run Blvd Suite 305 Owings Mills MD 21117-4836
Phone: (410) 581-8331
Fax: (410) 581-8332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 01173 Maryland
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01173 Maryland

Profile Details

NPI number 1972503829
LBN Legal business name Sellers-Hannibal, Tanya R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 25th, 2017 - 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 1972503829 NPPES
Maryland MEDICAID 119128400
Maryland Other T366

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