| David B. Chalfant Pc | |
|
5931 Stoney Creek Dr Fort Wayne IN 46825-4401 | |
| (260) 482-2206 | |
| (260) 483-3964 |
| Full Name | David B. Chalfant Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 5931 Stoney Creek Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | David B Chalfant (PRESIDENT) |
| Authorized Official Contact | 2604822206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B. Chalfant Pc 5931 Stoney Creek Dr Fort Wayne IN 46825-4401 Ph: (260) 483-3964 | David B. Chalfant Pc 5931 Stoney Creek Dr Fort Wayne IN 46825-4401 Ph: (260) 482-2206 |
| NPI Number | 1770738288 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770738288 | NPI | - | NPPES |
| 100103880 | Medicaid | IN | |
| 4590738 | Other | IN | AETNA |
| 000000086190 | Other | IN | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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