Provider Demographics
NPI:1609669837
Name:TEMBECK, CHUCK VALERY
Entity type:Individual
Prefix:MR
First Name:CHUCK
Middle Name:VALERY
Last Name:TEMBECK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 24TH ST NE APT 183524TH
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1926
Mailing Address - Country:US
Mailing Address - Phone:240-300-7094
Mailing Address - Fax:240-300-7094
Practice Address - Street 1:1835 24TH ST NE APT 183524TH
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1926
Practice Address - Country:US
Practice Address - Phone:240-300-7094
Practice Address - Fax:240-300-7094
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator