Provider Demographics
NPI:1144426248
Name:BILHARTZ, TERI NOEL (DO, MPH)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:NOEL
Last Name:BILHARTZ
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 HANCOCK VILLAGE DR
Mailing Address - Street 2:#115
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832
Mailing Address - Country:US
Mailing Address - Phone:804-464-8417
Mailing Address - Fax:804-597-8617
Practice Address - Street 1:7305 HANCOCK VILLAGE DR # 115
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-2771
Practice Address - Country:US
Practice Address - Phone:804-464-8417
Practice Address - Fax:804-597-8617
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A122292083P0901X
NY2602022083P0901X
FLTPOS222083P0901X
VA01022057312083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine