Hiserodt, John Chatfield

Hiserodt, John Chatfield is an sole proprietor health care provider with primary practice located at 7707 Garden Grove Blvd , Garden Grove CA 92841-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as his primary health care specialty. Hiserodt, John Chatfield can be contacted via phone (714) 902-1762.

Contact Information

Primary practice address
7707 Garden Grove Blvd Garden Grove CA 92841-4207
Phone: (714) 902-1762
Fax: (657) 400-9073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G77372 California

Profile Details

NPI number 1235296864
LBN Legal business name Hiserodt, John Chatfield
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Mar 13th, 2019 - about 6 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 1235296864 NPPES
California MEDICAID 00G773720
California Other G77372

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