Chicko, Brett A

Chicko, Brett A is an individual health care provider with primary practice located at 1420 Central Park Blvd Ste 200 , Fredericksburg VA 22401-4932. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Chicko, Brett A can be contacted via phone (540) 785-7000.

Contact Information

Primary practice address
1420 Central Park Blvd Ste 200 Fredericksburg VA 22401-4932
Phone: (540) 785-7000
Fax: (540) 785-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01554 Maryland
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300938 Virginia

Profile Details

NPI number 1457341620
LBN Legal business name Chicko, Brett A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Nov 7th, 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 1457341620 NPPES
District of Columbia Other 353393YX82 MEDICARE NUMBER
District of Columbia MEDICAID 079289600 MEDICARE NUMBER
District of Columbia Other 408698 MEDICARE NUMBER
District of Columbia Other 1285767723 MEDICARE NUMBER

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