Jason Timothy Chisholm, MD
Psychiatry & Neurology, Epilepsy in Cleveland, OH. Individual provider (NPI-1).
NPI number1154852051
StatusActive
Last updated in NPPESFeb 3, 2023
Details
- NPI
- 1154852051
- Entity type
- Individual (NPI-1)
- Name
- Jason Timothy Chisholm
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2017
- Certification date
- Feb 3, 2023
- Last updated
- Feb 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084E0001X | Psychiatry & Neurology, Epilepsy | 35.142068 | OH | Yes |
Practice location
9500 Euclid Ave # S51Cleveland, OH 44195-0001
Phone 216-445-0526
Mailing address
2493 Euclid Heights BlvdCleveland Heights, OH 44106-2774
Phone 859-663-1248
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