Chesnut, Tatiana O.

Chesnut, Tatiana O. is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Chesnut, Tatiana O. can be contacted via phone (570) 703-7351.

Contact Information

Primary practice address
1800 Mulberry St Scranton PA 18510-2369
Phone: (570) 703-7351
Fax: (570) 703-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46654 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101279507 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD46654 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD469699 Pennsylvania

Profile Details

NPI number 1669588299
LBN Legal business name Chesnut, Tatiana O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669588299 NPPES
Kentucky MEDICAID 7100159290
Kentucky MEDICAID 1521378
Kentucky Other 4352346

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