Individual
SEAN TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, B-1 ROOM 114D, BALTIMORE, MD 21224-2735
(410) 550-3350
(410) 550-0491
Mailing address
824 S BOND ST, APT B, BALTIMORE, MD 21231-3306
(412) 370-8610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D75353
MD
208M00000X
Hospitalist Physician
Primary
D75353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067065100
—
MD
Enumeration date
04/07/2010
Last updated
08/25/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us