Chester Family Practice

LBN: Chester Family Practice
Chester Family Practice is an health care organization with primary practice located at 521 E 9Th St , Chester PA 19013-6136. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Chester Family Practice can be contacted via phone (610) 872-0565, or through Mudrick, Marylyn Ann via phone (610) 872-0565.

Contact Information

Primary practice address
521 E 9Th St Chester PA 19013-6136
Phone: (610) 872-0565
Fax: (610) 872-4478
Website:
Map and Directions
Authorized official contact:
Name: Mudrick, Marylyn Ann Doctor of Medicine (MD)
Phone: (610) 872-0565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD029229E Pennsylvania

Profile Details

NPI number 1356454706
LBN Legal business name Chester Family Practice
DBA Doing business as
Authorized official Mudrick, Marylyn Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated May 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356454706 NPPES
Pennsylvania MEDICAID 0554265001
Pennsylvania Other 5023294

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