Chacon, Jose Antonio
Chacon, Jose Antonio is an individual health care provider with primary practice located at 5875 Landerbrook Dr Ste 250 , Mayfield Hts OH 44124-6502. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Chacon, Jose Antonio can be contacted via phone (800) 487-4867.Contact Information
Primary practice address
5875 Landerbrook Dr Ste 250
Mayfield Hts OH 44124-6502
Phone: (800) 487-4867
Fax: (216) 593-7533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 019-026092 | Illinois |
Profile Details
| NPI number | 1649342064 |
|---|---|
| LBN Legal business name | Chacon, Jose Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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