Chacon, Sheri Louise
Chacon, Sheri Louise is an individual health care provider with primary practice located at 11435 W Buckeye Rd Ste A106 , Avondale AZ 85323-6812. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chacon, Sheri Louise can be contacted via phone (480) 677-8282.Contact Information
Primary practice address
11435 W Buckeye Rd Ste A106
Avondale AZ 85323-6812
Phone: (480) 677-8282
Fax: (480) 535-0962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5623 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5623 | Arizona |
Profile Details
| NPI number | 1497925424 |
|---|---|
| LBN Legal business name | Chacon, Sheri Louise |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497925424 | NPPES |
| Arizona | MEDICAID | 889844 |
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