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General NPI Number Information
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NPI Number | 1679713358
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE FAMILY HEALTH CARE
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 23130 MOAKLEY ST
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City | LEONARDTOWN
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State | MD
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Zip | 20650-2918
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Country | US
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Telephone | 301-997-0611
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Fax | 301-997-0709
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Provider Business Mailing Address
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Address Line | 40900 MERCHANTS LN SUITE 205
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City | LEONARDTOWN
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State | MD
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Zip | 20650-3700
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Country | US
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Telephone | 301-997-0322
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Fax | 301-997-0766
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JENNIFER M SCHMIDT
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Credential | D.O.
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Telephone | 301-997-0322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0055751
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License Number State | MD
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