Chu, Jonathan
Chu, Jonathan is an individual health care provider with primary practice located at 3137 S Meridian Rd Suite 120, Meridian ID 83642-7080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chu, Jonathan can be contacted via phone (208) 947-6800.Contact Information
Primary practice address
3137 S Meridian Rd Suite 120
Meridian ID 83642-7080
Phone: (208) 947-6800
Fax: (208) 947-6806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5991 | Idaho |
Profile Details
| NPI number | 1972547685 |
|---|---|
| LBN Legal business name | Chu, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jun 4th, 2013 - about 12 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 | 1972547685 | NPPES |
| Idaho | MEDICAID | 003642000 |
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