Chacko, Sumy
Chacko, Sumy is an individual health care provider with primary practice located at 18101 Prince Philip Dr , Olney MD 20832-1514. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Chacko, Sumy can be contacted via phone (301) 774-4105.Contact Information
Primary practice address
18101 Prince Philip Dr
Olney MD 20832-1514
Phone: (301) 774-4105
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 011290 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C0004157 | Maryland |
Profile Details
NPI number | 1508909045 |
---|---|
LBN Legal business name | Chacko, Sumy |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Mar 30th, 2010 - 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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