Individual
CRAIG EVAN CHALFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 W TECH RD STE 220, MIAMISBURG, OH 45342-0956
(937) 885-4475
(937) 885-3670
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244979
ANTHEM
—
01
—
0967627001
CIGNA
—
01
—
10789583
CAQH NUMBER
—
01
—
1203168
UHC
—
05
—
2279510
—
OH
01
—
2638441
AETNA
—
01
—
35079572
LICENSE
OH
01
—
522374873
TAX ID
—
01
—
522374873026
CARESOURCE
—
01
—
D79572
HUMANA
—
01
—
R27722
NATIONAL PROVIDER ID
—
Enumeration date
12/30/2005
Last updated
12/04/2024
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