| The Chance Healthcare Services | |
|
9620 Maxwell Rd Middle River MD 21220-3792 | |
| (443) 691-5498 | |
| Not Available |
| Full Name | The Chance Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9620 Maxwell Rd, Middle River, Maryland |
| Authorized Official Name and Position | Itoro E Abatai (PRESIDENT) |
| Authorized Official Contact | 4436915498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Chance Healthcare Services 9620 Maxwell Rd Middle River MD 21220-3792 Ph: (443) 691-5498 | The Chance Healthcare Services 9620 Maxwell Rd Middle River MD 21220-3792 Ph: (443) 691-5498 |
| NPI Number | 1992375562 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Medicare PECOS PAC ID | 9133526049 |
|---|---|
| Medicare Enrollment ID | O20210920002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992375562 | NPI | - | NPPES |
| Provider Name | Itoro Abatai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245839653 PECOS PAC ID: 0042617953 Enrollment ID: I20211006003507 |
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