Organization
MEP HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN MD (PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(330) 493-4443
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041548400
—
DC
05
—
643510600
—
MD
Enumeration date
03/28/2006
Last updated
01/08/2025
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