Provider Demographics
NPI:1346618337
Name:ACESO HEALTHCARE PARTNERS LLC
Entity Type:Organization
Organization Name:ACESO HEALTHCARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHUKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-785-2674
Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-785-2674
Mailing Address - Fax:
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-785-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054508261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care