Chaconas, Eric James

Chaconas, Eric James is an individual health care provider with primary practice located at 105 Mariner Health Way Ste 213, Saint Augustine FL 32086-3251. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chaconas, Eric James can be contacted via phone (904) 217-4259.

Contact Information

Primary practice address
105 Mariner Health Way Ste 213 Saint Augustine FL 32086-3251
Phone: (904) 217-4259
Fax: (904) 217-4251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 21730 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 23527 Florida

Profile Details

NPI number 1962417675
LBN Legal business name Chaconas, Eric James
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 20th, 2009 - about 17 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 1962417675 NPPES
Florida Other Y137H BCBS

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