Chua, Alvin C
Chua, Alvin C is an sole proprietor health care provider with primary practice located at 18 Central Street , Brookfield MA 01506-0699. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chua, Alvin C can be contacted via phone (508) 867-9891.Contact Information
Primary practice address
18 Central Street
Brookfield MA 01506-0699
Phone: (508) 867-9891
Fax: (508) 867-7385
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49566 | Massachusetts |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 49566 | Massachusetts |
Profile Details
NPI number | 1215927504 |
---|---|
LBN Legal business name | Chua, Alvin C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2005 |
Last updated | Jul 21st, 2008 - about 16 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 | 1215927504 | NPPES |
Massachusetts | Other | 330209666 | TAX IDENTIFICATION NUMBER |
Massachusetts | Other | J06383 | TAX IDENTIFICATION NUMBER |
Massachusetts | MEDICAID | 3022030 | TAX IDENTIFICATION NUMBER |
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