Chua, Marietta M.
Chua, Marietta M. is an sole proprietor health care provider with primary practice located at 4 Sweet Gum Ln , Hilton Head Island SC 29928-4207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Chua, Marietta M. can be contacted via phone (843) 363-2599.Contact Information
Primary practice address
4 Sweet Gum Ln
Hilton Head Island SC 29928-4207
Phone: (843) 363-2599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | F7722 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 056985 | Georgia |
Profile Details
| NPI number | 1619023876 |
|---|---|
| LBN Legal business name | Chua, Marietta M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1619023876 | NPPES |
| Texas | MEDICAID | POOOD74Q6 |
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