Chacko, Simon Muttanil
Chacko, Simon Muttanil is an sole proprietor health care provider with primary practice located at 7050 Ulmerton Rd Apt 210 , Largo FL 33771-5003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Chacko, Simon Muttanil can be contacted via phone (727) 777-4540.Contact Information
Primary practice address
7050 Ulmerton Rd Apt 210
Largo FL 33771-5003
Phone: (727) 777-4540
Fax: (727) 248-0432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9406548 | Florida |
Profile Details
| NPI number | 1477782860 |
|---|---|
| LBN Legal business name | Chacko, Simon Muttanil |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2009 |
| Last updated | Dec 15th, 2022 - about 4 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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