Chisholm, Roy D
Chisholm, Roy D is an sole proprietor health care provider with primary practice located at 12502 Willowbrook Rd Suite 500, Cumberland MD 21502-6491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chisholm, Roy D can be contacted via phone (301) 724-8847.Contact Information
Primary practice address
12502 Willowbrook Rd Suite 500
Cumberland MD 21502-6491
Phone: (301) 724-8847
Fax: (301) 724-7016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D34362 | Maryland |
Profile Details
| NPI number | 1275550279 |
|---|---|
| LBN Legal business name | Chisholm, Roy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Mar 13th, 2024 - about last year |
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 | 1275550279 | NPPES |
| West Virginia | Other | 0126225000 | WV MEDICAID |
| West Virginia | MEDICAID | 531441100 | WV MEDICAID |
| West Virginia | Other | 425241 | WV MEDICAID |
| West Virginia | Other | 1344505 | WV MEDICAID |
| West Virginia | Other | 424535 | WV MEDICAID |
| West Virginia | Other | 2530906005 | WV MEDICAID |
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