Cheatle, Martin D

Cheatle, Martin D is an individual health care provider with primary practice located at 560 Van Reed Rd Suite 204, Wyomissing PA 19610-1799. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Cheatle, Martin D can be contacted via phone (610) 988-4951.

Contact Information

Primary practice address
560 Van Reed Rd Suite 204 Wyomissing PA 19610-1799
Phone: (610) 988-4951
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS003654L Pennsylvania

Profile Details

NPI number 1548262629
LBN Legal business name Cheatle, Martin D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Sep 1st, 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 1548262629 NPPES
Pennsylvania MEDICAID 101181763

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