Bustamante, Chechelle Marie Tablang

Bustamante, Chechelle Marie Tablang is an sole proprietor health care provider with primary practice located at 18409 Shady View Ln , Brookeville MD 20833-2842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bustamante, Chechelle Marie Tablang can be contacted via phone (301) 273-5195.

Contact Information

Primary practice address
18409 Shady View Ln Brookeville MD 20833-2842
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R172810 Maryland

Profile Details

NPI number 1487850715
LBN Legal business name Bustamante, Chechelle Marie Tablang
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2007
Last updated May 1st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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