MEDICARE: MR. CHUCK VALERY TEMBECK

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1609669837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHUCK VALERY TEMBECK

Provider Business Mailing Address
First Line	:	1835 24TH ST NE APT 183524TH
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-1926
Country	:	US
Telephone Number	:	240-300-7094
Fax Number	:	240-300-7094

Provider Business Practice Location Address
First Line	:	1835 24TH ST NE APT 183524TH
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-1926
Country	:	US
Telephone Number	:	240-300-7094
Fax Number	:	240-300-7094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/28/2025

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Directions to “ MR. CHUCK VALERY TEMBECK ” Practice Location

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