Individual provider · Type 1 NPI
Jason Eric Chacker, PA-C
Medical Physician Assistant · Southampton, PA
NPI number
1609058916
Active
Practice location
735 Davisville Rd
Southampton, PA 18966-3282
Mailing address
58 Appletree Ln
Sewell, NJ 08080-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA053242 (PA) |
| Medical Physician Assistant | 363AM0700X | 25MP00215900 (NJ) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Southampton
About NPI 1609058916
Jason Eric Chacker, PA-C's National Provider Identifier is 1609058916, issued on Nov 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southampton, PA. The record was last updated on Dec 9, 2009.