Basic Information
Provider Information
NPI: 1245791920
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RYCHTARCZYK
FirstName: SYLWIA
MiddleName: ANNA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 337
Address2:  
City: LAFAYETTE
State: TN
PostalCode: 370830337
CountryCode: US
TelephoneNumber: 6156868160
FaxNumber: 6156664403
Practice Location
Address1: 1559 SPARTA ST
Address2:  
City: MCMINNVILLE
State: TN
PostalCode: 371101316
CountryCode: US
TelephoneNumber: 9318154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2019
LastUpdateDate: 06/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X63345TNY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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