Provider Demographics
NPI:1902075450
Name:CHALFIN, LES (C-PED)
Entity type:Individual
Prefix:MR
First Name:LES
Middle Name:
Last Name:CHALFIN
Suffix:
Gender:M
Credentials:C-PED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 73RD ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50311-1339
Mailing Address - Country:US
Mailing Address - Phone:515-256-9006
Mailing Address - Fax:515-285-9247
Practice Address - Street 1:1239 73RD ST
Practice Address - Street 2:SUITE G
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50311-1339
Practice Address - Country:US
Practice Address - Phone:515-256-9006
Practice Address - Fax:515-285-9247
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies