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NPI Code Detail

MEDICARE: MR. JOHN MARTIN CHMIEL B.S.

MEDICARE: MR. JOHN MARTIN CHMIEL B.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1427760040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN MARTIN CHMIEL B.S.
Provider Business Mailing Address
First Line : 1076 W MAPLE AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4787
Country : US
Telephone Number : 580-606-6710
Fax Number :
Provider Business Practice Location Address
First Line : 1076 W MAPLE AVE
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4787
Country : US
Telephone Number : 580-606-6710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2022
Last Update Date : 12/19/2022

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Directions to “ MR. JOHN MARTIN CHMIEL B.S.” Practice Location

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