Chase, Richard I

Chase, Richard I is an sole proprietor health care provider with primary practice located at 1721 Pennsylvania Ave , Baltimore MD 21217-3119. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Chase, Richard I can be contacted via phone (410) 523-2121.

Contact Information

Primary practice address
1721 Pennsylvania Ave Baltimore MD 21217-3119
Phone: (410) 523-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00887 Maryland

Profile Details

NPI number 1023142072
LBN Legal business name Chase, Richard I
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jan 14th, 2009 - about 16 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 1023142072 NPPES
Maryland MEDICAID 357668000
Maryland Other T041

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