Jebin Mathew Chacko in Puyallup - Neurology
Jebin Mathew Chacko - NPI 1598778458
Jebin Mathew Chacko is a Neurology in Puyallup, Washington. Jebin Mathew Chacko practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jebin Mathew Chacko is 1598778458. The last update date is 2012-09-14.
Jebin Mathew Chacko's current location address is 1701 3rd St Se, Puyallup, Washington. You can contact this provider via phone number 2536974747. The mailing address for Jebin Mathew Chacko is 1701 3rd St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jebin Mathew Chacko |
|---|---|
| Address | 1701 3rd St Se, Puyallup, Washington |
| Phone Number | 2536974747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598778458 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2012-09-14 |
Provider Mailing Address Detail
| Address | 1701 3rd St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983724511 |
| Phone Number | 2536974747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 242143 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2888195 | NY | -- |
Post Comment/ Review Below
What is the Jebin Mathew Chacko's unique identification number?
The Jebin Mathew Chacko has been assigned the NPI (National Provider Identifier) Number 1598778458 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jebin Mathew Chacko is physically located?
The Jebin Mathew Chacko is physically situated at the following address: 1701 3Rd St Se, Puyallup, WA, 983724511.
What is Jebin Mathew Chacko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jebin Mathew Chacko's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.
When did Jebin Mathew Chacko receive its 1598778458 assignment?
The Jebin Mathew Chacko was assigned its 1598778458 on 2006-08-14, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jebin Mathew Chacko most recently updated or revised?
The details related to Jebin Mathew Chacko, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-14.