Chacko, Nina M

Chacko, Nina M is an individual health care provider with primary practice located at 1532 Corlies Ave , Neptune NJ 07753-4904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Chacko, Nina M can be contacted via phone (732) 775-8400.

Contact Information

Primary practice address
1532 Corlies Ave Neptune NJ 07753-4904
Phone: (732) 775-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00312000 New Jersey

Profile Details

NPI number 1558703744
LBN Legal business name Chacko, Nina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2013
Last updated Jul 29th, 2013 - about 12 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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