Individual
JAMES H.T CHILLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6441 S MAIN ST, N KINGSVILLE, OH 44048
(440) 224-2255
(440) 997-6507
Mailing address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
(440) 997-6507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35063483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08959338
—
OH
Enumeration date
05/01/2006
Last updated
10/26/2012
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