Chadakoff, Charles Andrew
Chadakoff, Charles Andrew is an individual health care provider with primary practice located at 5380 S Rainbow Blvd , Las Vegas NV 89118-1877. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Chadakoff, Charles Andrew can be contacted via phone (702) 845-2841.Contact Information
Primary practice address
5380 S Rainbow Blvd
Las Vegas NV 89118-1877
Phone: (702) 845-2841
Fax: (702) 252-4405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1050 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1050 | Nevada |
Profile Details
NPI number | 1770782195 |
---|---|
LBN Legal business name | Chadakoff, Charles Andrew |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2007 |
Last updated | Apr 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770782195 | NPPES |
Nevada | MEDICAID | 100512583 |
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