Chatham, Marie D
Chatham, Marie D is an individual health care provider with primary practice located at 6565 N Charles St Suite 203, Towson MD 21204-6800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Chatham, Marie D can be contacted via phone (443) 849-2353.Contact Information
Primary practice address
6565 N Charles St Suite 203
Towson MD 21204-6800
Phone: (443) 849-2353
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0020907 | Maryland |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0020907 | Maryland |
Profile Details
NPI number | 1104916691 |
---|---|
LBN Legal business name | Chatham, Marie D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Jan 12th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104916691 | NPPES |
Other | 4800004 | UNITEDHEALTHCARE MCO | |
Other | 90530 | UNITEDHEALTHCARE MCO | |
Other | 290010122 | UNITEDHEALTHCARE MCO | |
Other | 542085 | UNITEDHEALTHCARE MCO | |
Other | 30645001 420A | UNITEDHEALTHCARE MCO | |
Other | 0007 E554 | UNITEDHEALTHCARE MCO |
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