Chu, Charles R

Chu, Charles R is an individual health care provider with primary practice located at 2728 E Main Ave Suite A, Puyallup WA 98372-3198. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Chu, Charles R can be contacted via phone (253) 841-2006.

Contact Information

Primary practice address
2728 E Main Ave Suite A Puyallup WA 98372-3198
Phone: (253) 841-2006
Fax: (253) 840-6691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000277 Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000277 Washington

Profile Details

NPI number 1346235959
LBN Legal business name Chu, Charles R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 6th, 2014 - 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 1346235959 NPPES
Washington MEDICAID 1694306
Washington Other 0155724
Washington Other CJ4574
Washington MEDICAID 7109770
Washington Other CH3153

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