MEDICARE: CHATTREE AND ASSOCIATES

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
1	251S00000X	Community/Behavioral Health Agency	0321	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598923740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATTREE AND ASSOCIATES

Provider Business Mailing Address
First Line	:	3355 RICHMOND RD STE 225A
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4180
Country	:	US
Telephone Number	:	216-831-1494
Fax Number	:	216-831-9931

Provider Business Practice Location Address
First Line	:	3355 RICHMOND RD STE 225A
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4180
Country	:	US
Telephone Number	:	216-831-1494
Fax Number	:	216-831-9931

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. LUAN HUTCHINSON
Credential	:	CPA, GD
Telephone Number	:	216-831-1494

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	05/23/2008

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Directions to “CHATTREE AND ASSOCIATES ” Practice Location

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