Chase, Mariam M

Chase, Mariam M is an sole proprietor health care provider with primary practice located at 8818 Georgia Ave Suite 501, First Floor, Silver Spring MD 20910-2713. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Chase, Mariam M can be contacted via phone (240) 777-3353.

Contact Information

Primary practice address
8818 Georgia Ave Suite 501, First Floor Silver Spring MD 20910-2713
Fax: (240) 777-1367
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R081733 Maryland

Profile Details

NPI number 1740364942
LBN Legal business name Chase, Mariam M
Credentials MSN. RN. CS-P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 9th, 2007 - about 17 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 1740364942 NPPES
Maryland Other R081733 REGISTERED NURSE LICENSE

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