Chua Family Practice, Pllc
LBN: Chua Family Practice, Pllc
Chua Family Practice, Pllc is an health care organization with primary practice located at 1092 Harrison Ave , Elkins WV 26241-3671. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Chua Family Practice, Pllc can be contacted via phone (304) 637-0433, or through Brown, Connie M via phone (304) 637-0433.
Contact Information
Primary practice address
1092 Harrison Ave
Elkins WV 26241-3671
Phone: (304) 637-0433
Fax: (304) 637-0435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WV1833 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WV1965 | West Virginia |
Profile Details
| NPI number | 1700948239 |
|---|---|
| LBN Legal business name | Chua Family Practice, Pllc |
| DBA Doing business as | |
| Authorized official | Brown, Connie M Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700948239 | NPPES |
| West Virginia | MEDICAID | 3810004769 | |
| West Virginia | Other | P00012945 | |
| West Virginia | Other | P00118111 |
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