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Contact Information

RICHARD I CHASE, OWNER
1721 PENNSYLVANIA AVE
BALTIMORE, MD21217-3119
 Phone: 410-523-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD I CHASE · (Male)

NPI Number 1023142072
Status Active
Credentials OWNER
Entity Individual
Enumeration date 03/14/2007
Last updated 01/14/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 00887
  • MD Medicaid 357668000
  • MD Other T041 BLUE CROSS BLUE SHIELD
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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