Chau, Justin James
Chau, Justin James is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9204. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty.Contact Information
Primary practice address
975 Port Washington Rd
Grafton WI 53024-9204
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-45076 | Iowa |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD-45076 | Iowa |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD-45076 | Iowa |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 82045 | Wisconsin |
Profile Details
NPI number | 1871974154 |
---|---|
LBN Legal business name | Chau, Justin James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2015 |
Last updated | Oct 6th, 2023 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871974154 | NPPES |
Wisconsin | MEDICAID | 100236288 |
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