Chin-Lue, Roland L

Chin-Lue, Roland L is an individual health care provider with primary practice located at 4211 Van Dyke Rd #200, Lutz FL 33558-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chin-Lue, Roland L can be contacted via phone (813) 264-6490.

Contact Information

Primary practice address
4211 Van Dyke Rd #200 Lutz FL 33558-8005
Fax: (813) 443-8143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME101582 Florida

Profile Details

NPI number 1770746190
LBN Legal business name Chin-Lue, Roland L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Nov 19th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770746190 NPPES
Florida MEDICAID 001214900

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