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Individual

MR. JOHN CHAMBERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242

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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