Organization
CHESAPEAKE WELLNESS CENTER
Active
Organization
CHESAPEAKE WELLNESS CENTER
Active
Parent organization
CHESAPEAKE WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESAPEAKE WELLNESS CENTER
Authorized official
JANE E HYSKELL (CREDENTIALING AGENT)
(814) 938-8263
Entity
Organization
Contact information
Practice address
818 HIGH ST, CHESTERTOWN, MD 21620-1152
(410) 275-8156
(877) 433-6830
Mailing address
PO BOX 669, CECILTON, MD 21913-0669
(410) 275-8156
(877) 433-6830
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
627009300
—
MD
Enumeration date
12/28/2020
Last updated
02/05/2021
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