Gagen-Hursey, Theresa J

Gagen-Hursey, Theresa J is an individual health care provider with primary practice located at 10807 Falls Rd Suite 200, Lutherville MD 21093-4591. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gagen-Hursey, Theresa J can be contacted via phone (410) 321-9393.

Contact Information

Primary practice address
10807 Falls Rd Suite 200 Lutherville MD 21093-4591
Phone: (410) 321-9393
Fax: (410) 825-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N51181 Maryland

Profile Details

NPI number 1801068002
LBN Legal business name Gagen-Hursey, Theresa J
Credentials RNPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Oct 1st, 2010 - about 16 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 1801068002 NPPES
Maryland Other LL96MA BLUE SHIELD OF MD

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