Charnock, Kristy

Charnock, Kristy is an individual health care provider with primary practice located at 422 Solomons Island Rd N , Prince Frederick MD 20678-3909. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Charnock, Kristy can be contacted via phone (301) 855-1056.

Contact Information

Primary practice address
422 Solomons Island Rd N Prince Frederick MD 20678-3909
Phone: (301) 855-1056
Fax: (301) 609-7284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MD

Profile Details

NPI number 1194056556
LBN Legal business name Charnock, Kristy
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Jan 26th, 2010 - about 16 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 1194056556 NPPES
Maryland MEDICAID 589561802

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