Provider Demographics
NPI:1225229586
Name:CHEST CONSULTANTS, INC.
Entity Type:Organization
Organization Name:CHEST CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:W
Authorized Official - Last Name:RYCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-687-5864
Mailing Address - Street 1:110 N EWING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3307
Mailing Address - Country:US
Mailing Address - Phone:740-687-5864
Mailing Address - Fax:
Practice Address - Street 1:110 N EWING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3307
Practice Address - Country:US
Practice Address - Phone:740-687-5864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH048474207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2078353Medicaid
OH9297161Medicare PIN
OHA82437Medicare UPIN