Chacon, Samuel R

Chacon, Samuel R is an sole proprietor health care provider with primary practice located at 540 W Plumb Ln Ste 200 , Reno NV 89509-3683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Chacon, Samuel R can be contacted via phone (775) 870-1521.

Contact Information

Primary practice address
540 W Plumb Ln Ste 200 Reno NV 89509-3683
Phone: (775) 870-1521
Fax: (775) 870-1892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 9105 Nevada
Other Service Providers / Specialist 174400000X 9105 Nevada

Profile Details

NPI number 1215991856
LBN Legal business name Chacon, Samuel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215991856 NPPES
Nevada MEDICAID 002013064

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