Chacko, Jacob M
Chacko, Jacob M is an individual health care provider with primary practice located at Augusta Medical Center Anesthesia Dept 78 Medical Center Drive, Fishersville VA 22939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chacko, Jacob M can be contacted via phone (540) 427-4406.Contact Information
Primary practice address
Augusta Medical Center Anesthesia Dept 78 Medical Center Drive
Fishersville VA 22939
Phone: (540) 427-4406
Fax: (540) 427-4915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 047726 | Virginia |
Profile Details
| NPI number | 1922036094 |
|---|---|
| LBN Legal business name | Chacko, Jacob M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Nov 30th, 2022 - about 2 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 | 1922036094 | NPPES |
| Virginia | MEDICAID | 1922036094 |
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