Chacko, Mysty
Chacko, Mysty is an individual health care provider with primary practice located at 400 W Route 38 , Moorestown NJ 08057-3219. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chacko, Mysty can be contacted via phone (856) 270-4000.Contact Information
Primary practice address
400 W Route 38
Moorestown NJ 08057-3219
Phone: (856) 270-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA061392 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00866300 | New Jersey |
Profile Details
| NPI number | 1669003745 |
|---|---|
| LBN Legal business name | Chacko, Mysty |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2020 |
| Last updated | Aug 7th, 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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