Chachere, Julia Rebekah Theodora

Chachere, Julia Rebekah Theodora is an individual health care provider with primary practice located at North Fork Family Practice 32845 Main Road, Cutchogue NY 11935. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Chachere, Julia Rebekah Theodora can be contacted via phone (631) 405-3235.

Contact Information

Primary practice address
North Fork Family Practice 32845 Main Road Cutchogue NY 11935
Phone: (631) 405-3235
Fax: (631) 259-0298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F001238-1 New York
Other Service Providers / Midwife 176B00000X F001238 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420821 New York

Profile Details

NPI number 1033267174
LBN Legal business name Chachere, Julia Rebekah Theodora
Credentials NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033267174 NPPES
New York MEDICAID 02912783

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