Chacko, George N
Chacko, George N is an sole proprietor health care provider with primary practice located at 8224 Silver Xing , Oklahoma City OK 73132-3375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Chacko, George N can be contacted via phone (405) 722-4645.Contact Information
Primary practice address
8224 Silver Xing
Oklahoma City OK 73132-3375
Phone: (405) 722-4645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 17461 | Oklahoma |
Profile Details
| NPI number | 1891837787 |
|---|---|
| LBN Legal business name | Chacko, George N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Mar 5th, 2021 - about 4 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 | 1891837787 | NPPES |
| Oklahoma | MEDICAID | 100827610A | |
| Oklahoma | Other | 360004269 |
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