Fackler, Tamara K

Fackler, Tamara K is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 320, Annapolis MD 21401-3046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Fackler, Tamara K can be contacted via phone (410) 571-8733.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 320 Annapolis MD 21401-3046
Phone: (410) 571-8733
Fax: (410) 571-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0047532 Maryland
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X D0047532 Maryland

Profile Details

NPI number 1447208657
LBN Legal business name Fackler, Tamara K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 28th, 2021 - about 5 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 1447208657 NPPES
Maryland MEDICAID 318402100

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