Jacob, Stephen Chacko
Jacob, Stephen Chacko is an individual health care provider with primary practice located at 3535 Roswell Rd Ste 40 , Marietta GA 30062-8830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Jacob, Stephen Chacko can be contacted via phone (678) 224-5334.Contact Information
Primary practice address
3535 Roswell Rd Ste 40
Marietta GA 30062-8830
Phone: (678) 224-5334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 041142 | Georgia |
Profile Details
| NPI number | 1700828795 |
|---|---|
| LBN Legal business name | Jacob, Stephen Chacko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 12th, 2024 - about last year |
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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