John C Chatlos Md

LBN: J Calvin Chatlos Md Llc
John C Chatlos Md is an health care organization with primary practice located at 400 W Main St , Freehold NJ 07728-2529. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. J Calvin Chatlos Md Llc can be contacted via phone (732) 414-6001, or through Chatlos, John Calvin via phone (732) 414-6001.

Contact Information

Primary practice address
400 W Main St Freehold NJ 07728-2529
Phone: (732) 414-6001
Fax: (732) 677-3149
Website:
Map and Directions
Authorized official contact:
Name: Chatlos, John Calvin Doctor of Medicine (MD)
Phone: (732) 414-6001

Health care specialties

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

Profile Details

NPI number 1417282922
LBN Legal business name J Calvin Chatlos Md Llc
DBA Doing business as John C Chatlos Md
Authorized official Chatlos, John Calvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2009
Last updated Oct 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417282922 NPPES
New Jersey MEDICAID 2508206

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