Eluvathingal, Jaison Chakkappan

Eluvathingal, Jaison Chakkappan is an sole proprietor health care provider with primary practice located at 8958 W State Road 84 Ste 342 , Davie FL 33324-4457. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Eluvathingal, Jaison Chakkappan can be contacted via phone (914) 602-6209.

Contact Information

Primary practice address
8958 W State Road 84 Ste 342 Davie FL 33324-4457
Phone: (914) 602-6209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9315515 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9315515 Florida

Profile Details

NPI number 1891110342
LBN Legal business name Eluvathingal, Jaison Chakkappan
Credentials NURSE PRACTITONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2014
Last updated Jun 28th, 2024 - about last year

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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