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Individual
MR. JOHN CHAMBERLIN
Active
Individual
MR. JOHN CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2E61
MO
208M00000X
Hospitalist Physician
Primary
04-21527
KS
208M00000X
Hospitalist Physician
21527
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002006
MEDICARE PTAN
KS
05
—
100349200C
—
KS
01
—
12531038
BCBS
—
05
—
202253415
—
MO
01
—
2292233
AETNA
—
01
—
330230
FIRST GUARD
—
Enumeration date
08/24/2005
Last updated
12/01/2023
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