Chacko, Chris E

Chacko, Chris E is an individual health care provider with primary practice located at 350 W. Columbia, Suite 310 , Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Chacko, Chris E can be contacted via phone (812) 425-2646.

Contact Information

Primary practice address
350 W. Columbia, Suite 310 Evansville IN 47710-1782
Fax: (812) 467-7209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11012804A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01064628-A Indiana

Profile Details

NPI number 1679731665
LBN Legal business name Chacko, Chris E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Jan 6th, 2015 - about 10 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 1679731665 NPPES
Indiana MEDICAID 200992660

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