Healthcare Provider Details

I. General information

NPI: 1144426248
Provider Name (Legal Business Name): TERI NOEL BILHARTZ D.O., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 10/30/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 HANCOCK VILLAGE DR # 115
CHESTERFIELD VA
23832-2771
US

IV. Provider business mailing address

7305 HANCOCK VILLAGE DR #115
CHESTERFIELD VA
23832
US

V. Phone/Fax

Practice location:
  • Phone: 804-464-8417
  • Fax: 804-597-8617
Mailing address:
  • Phone: 804-464-8417
  • Fax: 804-597-8617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number20A12229
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number260202
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberTPOS22
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0102205731
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: