Chamikles, Jason

Chamikles, Jason is an sole proprietor health care provider with primary practice located at 7309 Myrtle Ave , Glendale NY 11385-7418. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chamikles, Jason can be contacted via phone (718) 497-1429.

Contact Information

Primary practice address
7309 Myrtle Ave Glendale NY 11385-7418
Phone: (718) 497-1429
Fax: (646) 357-9739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 192757 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 192757-1 New York

Profile Details

NPI number 1851352926
LBN Legal business name Chamikles, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Mar 1st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851352926 NPPES
New York MEDICAID 0-1521306

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