Chistakoff, George J

Chistakoff, George J is an individual health care provider with primary practice located at 101 W Bern St Hsc Bldg 22, Reading PA 19601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chistakoff, George J can be contacted via phone (610) 208-2276.

Contact Information

Primary practice address
101 W Bern St Hsc Bldg 22 Reading PA 19601
Phone: (610) 208-2276
Fax: (610) 208-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA003540L Pennsylvania

Profile Details

NPI number 1740425099
LBN Legal business name Chistakoff, George J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Jan 13th, 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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