Chisholm, John Angus

Chisholm, John Angus is an sole proprietor health care provider with primary practice located at 345 F St Ste 100, Chula Vista CA 91910-2632. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chisholm, John Angus can be contacted via phone (619) 427-3481.

Contact Information

Primary practice address
345 F St Ste 100 Chula Vista CA 91910-2632
Fax: (619) 420-7807
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3431 California

Profile Details

NPI number 1396740072
LBN Legal business name Chisholm, John Angus
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Feb 1st, 2008 - about 16 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 1396740072 NPPES
California MEDICAID 000E34312

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