Teagle, Denotta Shavonn

Teagle, Denotta Shavonn is an individual health care provider with primary practice located at 1501 Division St , Baltimore MD 21217-3121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Teagle, Denotta Shavonn can be contacted via phone (410) 728-4176.

Contact Information

Primary practice address
1501 Division St Baltimore MD 21217-3121
Phone: (410) 728-4176
Fax: (410) 728-4412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0001369 Maryland

Profile Details

NPI number 1902807100
LBN Legal business name Teagle, Denotta Shavonn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 30th, 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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