Chaconas, Eric James
Chaconas, Eric James is an individual health care provider with primary practice located at 105 Mariner Health Way Ste 213, Saint Augustine FL 32086-3251. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chaconas, Eric James can be contacted via phone (904) 217-4259.Contact Information
Primary practice address
105 Mariner Health Way Ste 213
Saint Augustine FL 32086-3251
Phone: (904) 217-4259
Fax: (904) 217-4251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 21730 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 23527 | Florida |
Profile Details
| NPI number | 1962417675 |
|---|---|
| LBN Legal business name | Chaconas, Eric James |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 20th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962417675 | NPPES |
| Florida | Other | Y137H | BCBS |
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