Valayam, Joseph Chacko
Valayam, Joseph Chacko is an sole proprietor health care provider with primary practice located at 1324 Woodland Dr Suite A, Elizabethtown KY 42701-2651. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Valayam, Joseph Chacko can be contacted via phone (270) 765-5921.Contact Information
Primary practice address
1324 Woodland Dr Suite A
Elizabethtown KY 42701-2651
Phone: (270) 765-5921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 45063 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 45063 | Kentucky |
Profile Details
| NPI number | 1770817124 |
|---|---|
| LBN Legal business name | Valayam, Joseph Chacko |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770817124 | NPPES |
| Kentucky | MEDICAID | 7100233450 |
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