Provider Demographics
NPI:1386242121
Name:CHUTES, BRIAN FRANCIS
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:FRANCIS
Last Name:CHUTES
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 1:110 HARMON CT
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:OH
Mailing Address - Zip Code:44050-9776
Mailing Address - Country:US
Mailing Address - Phone:440-213-3458
Mailing Address - Fax:
Practice Address - Street 1:110 HARMON CT
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:OH
Practice Address - Zip Code:44050-9776
Practice Address - Country:US
Practice Address - Phone:440-213-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child