Chaisson, Richard Ernest

Chaisson, Richard Ernest is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chaisson, Richard Ernest can be contacted via phone (410) 955-1725.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-1725
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D37168 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D37168 Maryland

Profile Details

NPI number 1063461143
LBN Legal business name Chaisson, Richard Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 9th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063461143 NPPES
Maryland MEDICAID 289641900

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