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Individual

CRAIG EVAN CHALFIE

Active
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Individual

CRAIG EVAN CHALFIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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