Nebu, Chacko

Nebu, Chacko is an individual health care provider with primary practice located at 7025 Oleander Ave , Port St Lucie FL 34952-9028. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nebu, Chacko can be contacted via phone (609) 744-4133.

Contact Information

Primary practice address
7025 Oleander Ave Port St Lucie FL 34952-9028
Phone: (609) 744-4133
Fax: (772) 882-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 111310 Florida

Profile Details

NPI number 1538439559
LBN Legal business name Nebu, Chacko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jul 20th, 2021 - about 3 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 1538439559 NPPES
Florida MEDICAID 004776500

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