| Project Chesapeake, LLC | |
|
201 Broadway St Ste 110 Frederick MD 21701-6696 | |
| (443) 440-5782 | |
| Not Available |
| Full Name | Project Chesapeake, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Broadway St Ste 110, Frederick, Maryland |
| Authorized Official Name and Position | Joseph Rogers (PARTNER) |
| Authorized Official Contact | 4432145097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Chesapeake, LLC 185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 Ph: (443) 440-5782 | Project Chesapeake, LLC 201 Broadway St Ste 110 Frederick MD 21701-6696 Ph: (443) 440-5782 |
| NPI Number | 1154926210 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154926210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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