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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497752695 | NPPES |
| New Jersey | Other | 372324 | MEDICARE PTAN |
| New Jersey | MEDICAID | 2508206 | MEDICARE PTAN |
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