Chestnutt, Bernadette B
Chestnutt, Bernadette B is an individual health care provider with primary practice located at 18111 Prince Philip Dr Suite 300, Olney MD 20832-1513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chestnutt, Bernadette B can be contacted via phone (301) 774-2991.Contact Information
Primary practice address
18111 Prince Philip Dr Suite 300
Olney MD 20832-1513
Phone: (301) 774-2991
Fax: (301) 260-0738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R081807 | Maryland |
Profile Details
| NPI number | 1235147067 |
|---|---|
| LBN Legal business name | Chestnutt, Bernadette B |
| Credentials | CRFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | May 13th, 2013 - about 11 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 | 1235147067 | NPPES |
| Maryland | MEDICAID | 648871400 |
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