Chua, Kenneth

Chua, Kenneth is an individual health care provider with primary practice located at 2446 Washington Ave , Oceanside NY 11572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chua, Kenneth can be contacted via phone (516) 536-0946.

Contact Information

Primary practice address
2446 Washington Ave Oceanside NY 11572
Fax: (516) 536-4495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 234375 New York

Profile Details

NPI number 1538122999
LBN Legal business name Chua, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 23rd, 2015 - about 9 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 1538122999 NPPES
New York MEDICAID 02711939

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