Chamberlain, Rebecca Josephine

Chamberlain, Rebecca Josephine is an sole proprietor health care provider with primary practice located at 1500 Forest Glen Rd Emergency Department, Silver Spring MD 20910-1460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chamberlain, Rebecca Josephine can be contacted via phone (301) 754-7897.

Contact Information

Primary practice address
1500 Forest Glen Rd Emergency Department Silver Spring MD 20910-1460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R158145 Maryland

Profile Details

NPI number 1710167911
LBN Legal business name Chamberlain, Rebecca Josephine
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Mar 12th, 2015 - about 10 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710167911 NPPES
Maryland MEDICAID 441172200

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