Cheney, Maryalice
Cheney, Maryalice is an sole proprietor health care provider with primary practice located at 1100 Walnut St Suite 702, Philadelphia PA 19107-5563. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Cheney, Maryalice can be contacted via phone (215) 923-7176.Contact Information
Primary practice address
1100 Walnut St Suite 702
Philadelphia PA 19107-5563
Phone: (215) 923-7176
Fax: (215) 955-2404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD025382E | Pennsylvania |
Profile Details
| NPI number | 1952464877 |
|---|---|
| LBN Legal business name | Cheney, Maryalice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952464877 | NPPES |
| Pennsylvania | MEDICAID | 1119530 |
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