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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922036094 NPPES
Virginia MEDICAID 1922036094

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