Tepper, Kenneth Benjamin
Tepper, Kenneth Benjamin is an individual health care provider with primary practice located at 532 Baltimore Blvd Suite 201, Westminster MD 21157-6117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tepper, Kenneth Benjamin can be contacted via phone (410) 751-8800.Contact Information
Primary practice address
532 Baltimore Blvd Suite 201
Westminster MD 21157-6117
Phone: (410) 751-8800
Fax: (410) 751-9354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0058887 | Maryland |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | D0058887 | Maryland |
Profile Details
NPI number | 1619902665 |
---|---|
LBN Legal business name | Tepper, Kenneth Benjamin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Mar 12th, 2013 - about 11 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 | 1619902665 | NPPES |
Maryland | MEDICAID | 401066300 | |
Maryland | Other | W5200010 | |
Maryland | Other | 61672901 |
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