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
Fax: (215) 955-2404
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952464877 NPPES
Pennsylvania MEDICAID 1119530

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