John Calvin Chatlos in Holmdel - Addiction Medicine
John Calvin Chatlos - NPI 1497752695
John Calvin Chatlos is a Addiction Medicine in Holmdel, New Jersey. John Calvin Chatlos practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John Calvin Chatlos is 1497752695. The last update date is 2016-04-18.
John Calvin Chatlos's current location address is 973 Holmdel Rd, Holmdel, New Jersey. You can contact this provider via phone number 7328340368 and fax number 7328349891. The mailing address for John Calvin Chatlos is 973 Holmdel Rd, Holmdel, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Calvin Chatlos |
|---|---|
| Address | 973 Holmdel Rd, Holmdel, New Jersey |
| Phone Number | 7328340368 |
| Fax Number | 7328349891 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497752695 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2016-04-18 |
Provider Mailing Address Detail
| Address | 973 Holmdel Rd |
|---|---|
| City | Holmdel |
| State | New Jersey (NJ) |
| Post Code | 77332124 |
| Phone Number | 7328340368 |
| Fax Number | 7328349891 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | MA 46262 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 372324 | NJ | MEDICARE PTAN | |
| 2508206 | NJ | -- |
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What is the unique identification code assigned to John Calvin Chatlos by the Centers for Medicare & Medicaid Services?
The John Calvin Chatlos has been issued the NPI (National Provider Identifier) 1497752695. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Calvin Chatlos's facilities are geographically located?
The facilities of John Calvin Chatlos are physically situated at the following location: 973 Holmdel Rd, Holmdel, NJ, 77332124.
On what date did John Calvin Chatlos receive its 1497752695 assignment from the Centers for Medicare & Medicaid Services?
The John Calvin Chatlos was assigned its 1497752695 on 2005-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1497752695 to John Calvin Chatlos?
The Centers for Medicare & Medicaid Services assigned the 1497752695 to John Calvin Chatlos on 2005-07-01.
When was the information related to John Calvin Chatlos most recently updated or refreshed?
The details pertaining to the John Calvin Chatlos, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-18.
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