Provider Demographics
NPI:1922333871
Name:CHEW'S SOLUTIONS, INC., PC
Entity type:Organization
Organization Name:CHEW'S SOLUTIONS, INC., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-371-3672
Mailing Address - Street 1:902 ARLINGTON CTR
Mailing Address - Street 2:255
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2883
Mailing Address - Country:US
Mailing Address - Phone:580-371-3672
Mailing Address - Fax:580-371-3651
Practice Address - Street 1:902 ARLINGTON CTR
Practice Address - Street 2:255
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2883
Practice Address - Country:US
Practice Address - Phone:580-371-3672
Practice Address - Fax:580-371-3651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-10
Last Update Date:2009-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health