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Contact Information

CHMG CORELIFE, LLC
1036 SAINT NICHOLAS DR UNIT 101
WALDORF, MD20603-4758
 Phone: 240-261-7170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Bariatric Medicine

2084B0002X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CHMG CORELIFE LLC · (Female)

NPI # 1316654460
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2022
Last updated 01/16/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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