Checchio, Mary Anne
Checchio, Mary Anne is an individual health care provider with primary practice located at 9525 Frankford Ave , Philadelphia PA 19114-2812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Checchio, Mary Anne can be contacted via phone (215) 333-9696.Contact Information
Primary practice address
9525 Frankford Ave
Philadelphia PA 19114-2812
Phone: (215) 333-9696
Fax: (215) 333-8514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DS-026447-L | Pennsylvania |
Profile Details
| NPI number | 1689634602 |
|---|---|
| LBN Legal business name | Checchio, Mary Anne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689634602 | NPPES |
| Pennsylvania | Other | 0811240000 | KEYSTONE/PERSONAL CHOICE |
| Pennsylvania | Other | AETNA | KEYSTONE/PERSONAL CHOICE |
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