Chacko, Julie A

Chacko, Julie A is an sole proprietor health care provider with primary practice located at 504 W Pueblo St Suite102, Santa Barbara CA 93105-6211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Chacko, Julie A can be contacted via phone (805) 687-7719.

Contact Information

Primary practice address
504 W Pueblo St Suite102 Santa Barbara CA 93105-6211
Fax: (805) 682-2971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A69285 California

Profile Details

NPI number 1225020571
LBN Legal business name Chacko, Julie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Nov 23rd, 2009 - about 15 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 1225020571 NPPES
California MEDICAID 1225020571

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