Chatlos, John Calvin

Chatlos, John Calvin is an sole proprietor health care provider with primary practice located at 973 Holmdel Rd , Holmdel NJ 07733-2124. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chatlos, John Calvin can be contacted via phone (732) 834-0368.

Contact Information

Primary practice address
973 Holmdel Rd Holmdel NJ 07733-2124
Phone: (732) 834-0368
Fax: (732) 834-9891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MA46262 New Jersey
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MA 46262 New Jersey
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MA 46262 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MA 46262 New Jersey

Profile Details

NPI number 1497752695
LBN Legal business name Chatlos, John Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Apr 18th, 2016 - about 8 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 1497752695 NPPES
New Jersey Other 372324 MEDICARE PTAN
New Jersey MEDICAID 2508206 MEDICARE PTAN

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