Provider Demographics
NPI:1588899165
Name:STEWARD, CHESTER LEE JR
Entity type:Individual
Prefix:
First Name:CHESTER
Middle Name:LEE
Last Name:STEWARD
Suffix:JR
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 1:100 CORAL CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2160
Mailing Address - Country:US
Mailing Address - Phone:757-377-6950
Mailing Address - Fax:
Practice Address - Street 1:100 CORAL CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2160
Practice Address - Country:US
Practice Address - Phone:757-377-6950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator