Provider Demographics
NPI:1538439401
Name:CHALMERS, CARL
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:CHALMERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VAN NESS AVE # 804
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2016
Mailing Address - Country:US
Mailing Address - Phone:559-600-3420
Mailing Address - Fax:559-600-1305
Practice Address - Street 1:1100 VAN NESS AVE # 804
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2016
Practice Address - Country:US
Practice Address - Phone:559-600-3420
Practice Address - Fax:559-600-1305
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator