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
Phone: (516) 536-0946
Fax: (516) 536-4495
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1538122999 | NPPES |
| New York | MEDICAID | 02711939 |
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