Basic Information
Provider Information
NPI: 1871926246
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CIHLAR
FirstName: JOSEPH
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8402 TROUT LILY DR
Address2:  
City: OOLTEWAH
State: TN
PostalCode: 373636024
CountryCode: US
TelephoneNumber: 4237187275
FaxNumber:  
Practice Location
Address1: 800 GARFIELD AVE
Address2:  
City: PARKERSBURG
State: WV
PostalCode: 261015340
CountryCode: US
TelephoneNumber: 3044242777
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/20/2013
LastUpdateDate: 02/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X#ED0399AWVY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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