Provider Demographics
NPI:1790789766
Name:HENDLER, NELSON H (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:H
Last Name:HENDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 GREENSPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:MD
Mailing Address - Zip Code:21153-0642
Mailing Address - Country:US
Mailing Address - Phone:410-653-2403
Mailing Address - Fax:410-653-6165
Practice Address - Street 1:1718 GREENSPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:MD
Practice Address - Zip Code:21153-0642
Practice Address - Country:US
Practice Address - Phone:410-653-2403
Practice Address - Fax:410-653-6165
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0015330208D00000X, 2084P0800X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4206Medicare ID - Type Unspecified
B69933Medicare UPIN