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Contact Information

RACHEL CHACKO, AGACNP-BC, CCRN
3990 JOHN R ST
DETROIT, MI48201-2018
 Phone: 313-745-5111
 Fax: 313-745-3500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for RACHEL CHACKO · (Female)

NPI # 1043065964
Status Active
Credentials AGACNP-BC, CCRN
Entity Individual
Enumeration date 04/23/2024
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704350190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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