Chacko, Chelsea

Chacko, Chelsea is an sole proprietor health care provider with primary practice located at 19511 Highland Oaks Dr Ste 201 , Estero FL 33928-9712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chacko, Chelsea can be contacted via phone (239) 468-0254.

Contact Information

Primary practice address
19511 Highland Oaks Dr Ste 201 Estero FL 33928-9712
Phone: (239) 468-0254
Fax: (239) 343-3958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116913 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9118144 Florida

Profile Details

NPI number 1790416212
LBN Legal business name Chacko, Chelsea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2022
Last updated Mar 6th, 2024 - about 2 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 1790416212 NPPES
Florida MEDICAID 120895000
Florida MEDICAID 116896100

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