Provider Demographics
NPI:1225834229
Name:CHICK, ANITA EJEH
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:EJEH
Last Name:CHICK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 72ND PL
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1616
Mailing Address - Country:US
Mailing Address - Phone:227-205-7387
Mailing Address - Fax:
Practice Address - Street 1:5110 72ND PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1616
Practice Address - Country:US
Practice Address - Phone:227-205-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide