Healthcare Provider Details

I. General information

NPI: 1447092283
Provider Name (Legal Business Name): PMR CONSULTING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 LISBURN RD
CAMP HILL PA
17011-7102
US

IV. Provider business mailing address

7004 EAGLE CT
NEW MARKET MD
21774-6738
US

V. Phone/Fax

Practice location:
  • Phone: 240-821-2467
  • Fax:
Mailing address:
  • Phone: 240-821-2467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KYLE ANTHONY CHAPMAN
Title or Position: OWNER, CEO
Credential: MD
Phone: 240-821-2467