Chu, Davis Co

Chu, Davis Co is an individual health care provider with primary practice located at 1219 E Charleston Blvd , Las Vegas NV 89104-1708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Chu, Davis Co can be contacted via phone (702) 633-5410.

Contact Information

Primary practice address
1219 E Charleston Blvd Las Vegas NV 89104-1708
Phone: (702) 633-5410
Fax: (702) 320-1639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11087 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11087 Nevada

Profile Details

NPI number 1205842796
LBN Legal business name Chu, Davis Co
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 9th, 2012 - about 13 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 1205842796 NPPES
Nevada MEDICAID 100509946

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