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Contact Information

J CALVIN CHATLOS MD LLC
400 W MAIN ST
FREEHOLD TOWNSHIP, NJ07728-2529
 Phone: 732-414-6001
 Fax: 732-677-3149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for J CALVIN CHATLOS MD LLC

NPI Number 1417282922
LBN Legal business name J CALVIN CHATLOS MD LLC
Authorized official JOHN CHATLOS - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2009
Last updated 10/16/2009 - About 17 years ago
Identifiers
NJ License # MA 46262
NJ Medicaid 2508206
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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