Tacket, Carol Overton
Tacket, Carol Overton is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Tacket, Carol Overton can be contacted via phone (410) 328-5793.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-5793
Fax: (410) 328-0248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D33866 | Maryland |
Profile Details
| NPI number | 1003877093 |
|---|---|
| LBN Legal business name | Tacket, Carol Overton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jan 8th, 2008 - 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 | 1003877093 | NPPES |
| Maryland | Other | 421719-01 | BLUE CROSS/BLUE SHIELD |
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