Chua, Domingo T

Chua, Domingo T is an sole proprietor health care provider with primary practice located at 1092 Harrison Ave , Elkins WV 26241-3671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chua, Domingo T can be contacted via phone (304) 636-6065.

Contact Information

Primary practice address
1092 Harrison Ave Elkins WV 26241-3671
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 09561 West Virginia

Profile Details

NPI number 1871591818
LBN Legal business name Chua, Domingo T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jan 13th, 2010 - about 14 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 1871591818 NPPES
West Virginia MEDICAID 0130598000

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