Joseph, Kalappurackal Chacko

Joseph, Kalappurackal Chacko is an sole proprietor health care provider with primary practice located at 2525 Crooks Rd Ste 100, Troy MI 48084-4733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Joseph, Kalappurackal Chacko can be contacted via phone (248) 740-9360.

Contact Information

Primary practice address
2525 Crooks Rd Ste 100 Troy MI 48084-4733
Fax: (248) 740-9374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X KJ 050850 Michigan

Profile Details

NPI number 1922195999
LBN Legal business name Joseph, Kalappurackal Chacko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Apr 19th, 2016 - about 9 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 1922195999 NPPES
Michigan MEDICAID 2902630

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