Chacko, Anita
Chacko, Anita is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Ste. 674A, Saint Louis MO 63141-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Chacko, Anita can be contacted via phone (314) 251-6831.Contact Information
Primary practice address
621 S New Ballas Rd Ste. 674A
Saint Louis MO 63141-8232
Phone: (314) 251-6831
Fax: (314) 251-5670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | R4F01 | Missouri |
Profile Details
| NPI number | 1417933433 |
|---|---|
| LBN Legal business name | Chacko, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Oct 1st, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417933433 | NPPES |
| Missouri | Other | R4F01 | MO LICENSE # |
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