Individual
MS. PAMELA M CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753
Mailing address
26045 SOTTERLEY HEIGHTS RD, HOLLYWOOD, MD 20636-2659
(301) 373-5827
(301) 373-5753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144037 ZCM7
MEDICARE ID
MD
01
—
262834506
UNITED HEALTHCARE
MD
01
—
53476701
BCBS PROFESSIONAL NUMBER
MD
01
—
601566700
ACS U.S. DEPT OF LABOR
MD
05
—
987000800
—
MD
01
—
F7CKPM
MD BCBS RENDERING PROV NO
MD
01
—
N419
BC BS FEP
MD
01
—
N4190001
CAREFIRST BCBS BLUECHOICE & GHMSI
MD
Enumeration date
03/01/2007
Last updated
04/16/2009
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