Chacko, Sibi

Chacko, Sibi is an individual health care provider with primary practice located at 10325 Lake June Rd , Dallas TX 75217-5312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Chacko, Sibi can be contacted via phone (214) 928-9800.

Contact Information

Primary practice address
10325 Lake June Rd Dallas TX 75217-5312
Phone: (214) 928-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG03190020 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP141408 Texas

Profile Details

NPI number 1134703754
LBN Legal business name Chacko, Sibi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2021
Last updated May 10th, 2021 - about 4 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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