Chackunkal, Nicole
Chackunkal, Nicole is an individual health care provider with primary practice located at 1211 Hamburg Tpke Ste 224 , Wayne NJ 07470-5056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Chackunkal, Nicole can be contacted via phone (973) 800-8515.Contact Information
Primary practice address
1211 Hamburg Tpke Ste 224
Wayne NJ 07470-5056
Phone: (973) 800-8515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 46TR01018900 | New Jersey |
Profile Details
| NPI number | 1235809781 |
|---|---|
| LBN Legal business name | Chackunkal, Nicole |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2021 |
| Last updated | Sep 16th, 2021 - about 3 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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