Koltz, Thea

Koltz, Thea is an individual health care provider with primary practice located at 202 Meridian Ln , Towson MD 21286-5205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Koltz, Thea can be contacted via phone (443) 413-1904.

Contact Information

Primary practice address
202 Meridian Ln Towson MD 21286-5205
Phone: (443) 413-1904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R184684 Maryland

Profile Details

NPI number 1215328521
LBN Legal business name Koltz, Thea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated Oct 14th, 2015 - 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.

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