Provider Demographics
NPI:1235195736
Name:CHINAULT, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:CHINAULT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 31872
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-1872
Mailing Address - Country:US
Mailing Address - Phone:804-266-8717
Mailing Address - Fax:804-266-5677
Practice Address - Street 1:6105 HEALTH CENTER LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6687
Practice Address - Country:US
Practice Address - Phone:540-786-5262
Practice Address - Fax:540-786-5299
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101 0555072085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6294133OtherCIGNA
VA1070984OtherFIRST HEALTH
VA568422OtherSOUTHERN HEALTH
VA280136OtherANTHEM BCBS
VA5253528OtherAETNA
VAJ202-0004OtherCAREFIRST
VA5253528OtherAETNA
VAJ202-0004OtherCAREFIRST