Chacko, Satish Jacob
Chacko, Satish Jacob is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 100, Fort Collins CO 80528-3400. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chacko, Satish Jacob can be contacted via phone (970) 221-1000.Contact Information
Primary practice address
2121 E Harmony Rd Ste 100
Fort Collins CO 80528-3400
Phone: (970) 221-1000
Fax: (970) 297-6844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125058582 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0057114 | Colorado |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | DR.0057114 | Colorado |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10740A | Wyoming |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036132053 | Illinois |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DR.0057114 | Colorado |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10740A | Wyoming |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 10740A | Wyoming |
Profile Details
NPI number | 1104147560 |
---|---|
LBN Legal business name | Chacko, Satish Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2010 |
Last updated | Dec 2nd, 2016 - about 9 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 | 1104147560 | NPPES |
Colorado | MEDICAID | 01205234 | |
Colorado | Other | DR.0057114 |
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