Lee, Antonio Chua
Lee, Antonio Chua is an individual health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Antonio Chua can be contacted via phone (580) 436-3980.Contact Information
Primary practice address
1921 Stonecipher Blvd
Ada OK 74820
Phone: (580) 436-3980
Fax: (580) 421-6224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12535 | Oklahoma |
Profile Details
| NPI number | 1790754174 |
|---|---|
| LBN Legal business name | Lee, Antonio Chua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Sep 22nd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790754174 | NPPES |
| Oklahoma | MEDICAID | 100013570A |
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