Healthcare Provider Details

I. General information

NPI: 1922333871
Provider Name (Legal Business Name): CHEW'S SOLUTIONS, INC., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2009
Last Update Date: 10/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 ARLINGTON CTR 255
ADA OK
74820-2883
US

IV. Provider business mailing address

902 ARLINGTON CTR 255
ADA OK
74820-2883
US

V. Phone/Fax

Practice location:
  • Phone: 580-371-3672
  • Fax: 580-371-3651
Mailing address:
  • Phone: 580-371-3672
  • Fax: 580-371-3651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEITH CHEW
Title or Position: OWNER
Credential:
Phone: 580-371-3672