Chalfant, Elizabeth R

Chalfant, Elizabeth R is an individual health care provider with primary practice located at 14 Sandalwood Dr , Newark OH 43055-9233. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chalfant, Elizabeth R can be contacted via phone (740) 349-7511.

Contact Information

Primary practice address
14 Sandalwood Dr Newark OH 43055-9233
Phone: (740) 349-7511
Fax: (740) 522-4263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1800951-SUPV Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162047 Ohio

Profile Details

NPI number 1003249277
LBN Legal business name Chalfant, Elizabeth R
Credentials LISW-S, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated Aug 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003249277 NPPES
Ohio MEDICAID 0200008

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