Chistakoff, George J
Chistakoff, George J is an individual health care provider with primary practice located at 101 W Bern St Hsc Bldg 22, Reading PA 19601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chistakoff, George J can be contacted via phone (610) 208-2276.Contact Information
Primary practice address
101 W Bern St Hsc Bldg 22
Reading PA 19601
Phone: (610) 208-2276
Fax: (610) 208-2748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA003540L | Pennsylvania |
Profile Details
| NPI number | 1740425099 |
|---|---|
| LBN Legal business name | Chistakoff, George J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2008 |
| Last updated | Jan 13th, 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.
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