Provider Demographics
NPI:1407406440
Name:HEALTH THINK LLC
Entity Type:Organization
Organization Name:HEALTH THINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/PCP
Authorized Official - Prefix:MRS
Authorized Official - First Name:PETREL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:410-329-4818
Mailing Address - Street 1:224 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2906
Mailing Address - Country:US
Mailing Address - Phone:410-329-4818
Mailing Address - Fax:
Practice Address - Street 1:224 E BROADWAY
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2906
Practice Address - Country:US
Practice Address - Phone:410-329-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1679058911OtherNPI