Organization
EXECUTIVE COACH OF CHILLICOTHE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W TIEMAN (OWNER)
(740) 961-5323
Entity
Organization
Contact information
Practice address
2221 8TH ST, PORTSMOUTH, OH 45662-4737
(740) 961-5323
Mailing address
PO BOX 1083, PORTSMOUTH, OH 45662-1083
(740) 961-5323
(740) 876-4873
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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