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NPI Code Detail

MEDICARE: DR. JOHN C CHELF MD

MEDICARE: DR. JOHN C CHELF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician13305OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24197621OTHERAETNA BEHAVIORAL HEALTH
360937OTHERCIGNA BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1679553242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C CHELF MD
Provider Business Mailing Address
First Line : PO BOX 21228
Second Line : DEPARTMENT 31
City : TULSA
State : OK
Zip : 74121-1228
Country : US
Telephone Number : 918-481-4655
Fax Number : 918-481-4696
Provider Business Practice Location Address
First Line : 6655 S YALE AVE
Second Line : LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
City : TULSA
State : OK
Zip : 74136-3326
Country : US
Telephone Number : 918-481-4655
Fax Number : 918-481-4696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 10/01/2009

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