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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1215927504 NPPES
Massachusetts Other 330209666 TAX IDENTIFICATION NUMBER
Massachusetts Other J06383 TAX IDENTIFICATION NUMBER
Massachusetts MEDICAID 3022030 TAX IDENTIFICATION NUMBER

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