Terry, Sharon Maxine

Terry, Sharon Maxine is an individual health care provider with primary practice located at 8635 Cherry Ln , Laurel MD 20707-6200. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Terry, Sharon Maxine can be contacted via phone (301) 483-3103.

Contact Information

Primary practice address
8635 Cherry Ln Laurel MD 20707-6200
Fax: (301) 483-3105
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Maryland

Profile Details

NPI number 1295047595
LBN Legal business name Terry, Sharon Maxine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2010
Last updated Jul 2nd, 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 1295047595 NPPES
Maryland MEDICAID 4168607 00.

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