Provider Demographics
NPI:1467813360
Name:CHESAPEAKE NATURAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:CHESAPEAKE NATURAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUST
Authorized Official - Suffix:
Authorized Official - Credentials:ND FABNO
Authorized Official - Phone:410-821-1788
Mailing Address - Street 1:808 GLENEAGLES CT # 42242
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2205
Mailing Address - Country:US
Mailing Address - Phone:410-821-1788
Mailing Address - Fax:866-309-3165
Practice Address - Street 1:808 GLENEAGLES CT # 42242
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2205
Practice Address - Country:US
Practice Address - Phone:410-821-1788
Practice Address - Fax:866-309-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-19
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDJ0000001175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty