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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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