Provider Demographics
NPI:1790302271
Name:MARLIN, CHELSY (DO)
Entity type:Individual
Prefix:
First Name:CHELSY
Middle Name:
Last Name:MARLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHELSY
Other - Middle Name:
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:520 MARY ST STE 340
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1679
Mailing Address - Country:US
Mailing Address - Phone:812-450-6700
Mailing Address - Fax:812-450-6710
Practice Address - Street 1:520 MARY ST STE 340
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1679
Practice Address - Country:US
Practice Address - Phone:812-450-6700
Practice Address - Fax:812-450-6710
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02007634A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine