Hart, Everett T.

Hart, Everett T. is an individual health care provider with primary practice located at 75 Thomas Johnson Dr Ste B, Frederick MD 21702-4895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hart, Everett T. can be contacted via phone (301) 695-3100.

Contact Information

Primary practice address
75 Thomas Johnson Dr Ste B Frederick MD 21702-4895
Phone: (301) 695-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D0044237 Maryland

Profile Details

NPI number 1598768764
LBN Legal business name Hart, Everett T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 20th, 2020 - about 6 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 1598768764 NPPES
Maryland Other 522122846-003 CIGNA
Maryland Other B5830001 CIGNA
Maryland Other 23965001 CIGNA
Maryland Other 52801003 CIGNA
Maryland MEDICAID 649961900 CIGNA

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