Chacko, Thomas
Chacko, Thomas is an sole proprietor health care provider with primary practice located at 3905 Brookside Pkwy Ste 203 , Alpharetta GA 30022-4425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Chacko, Thomas can be contacted via phone (267) 226-3181.Contact Information
Primary practice address
3905 Brookside Pkwy Ste 203
Alpharetta GA 30022-4425
Phone: (267) 226-3181
Fax: (888) 823-1934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 59383 | Georgia |
Profile Details
| NPI number | 1356443089 |
|---|---|
| LBN Legal business name | Chacko, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Aug 24th, 2023 - about last year |
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 | 1356443089 | NPPES |
| Georgia | Other | 59383 | GEORGIA MEDICAL LICENSE |
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