Daizen Joseph- Chacko, NP

Nurse Practitioner · Troy, MI

Individual Active NPI

NPI number 1447628813

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 964-8912

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NPI record

NPI
1447628813
Entity type
Individual (Type 1)
Enumeration date
September 2, 2015
Last updated
August 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 4704185276 MI

Mailing address

130 Town Center Dr
203
Troy, MI 48084-1744
Phone
(248) 585-8250
Fax
(248) 585-8270

About Daizen Joseph- Chacko

Daizen Joseph- Chacko, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 44201 Dequindre Rd, Troy, MI 48085-1117. The NPI number 1447628813 was assigned on September 2, 2015 and the record was last updated on August 22, 2016.

Daizen Joseph- Chacko lists a license in the registry: #4704185276 (MI) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daizen Joseph- Chacko, NP?

The NPI number is 1447628813.

What is the phone number of Daizen Joseph- Chacko?

The phone number listed for the practice location is (248) 964-8912.

Where is Daizen Joseph- Chacko located?

44201 Dequindre Rd, Troy, MI 48085-1117.

What is the taxonomy code for Daizen Joseph- Chacko?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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