Liao Ong, Jacob Chua
Liao Ong, Jacob Chua is an individual health care provider with primary practice located at 1625 Foxtrail Dr Suite 200, Loveland CO 80538-9088. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Liao Ong, Jacob Chua can be contacted via phone (970) 490-4209.Contact Information
Primary practice address
1625 Foxtrail Dr Suite 200
Loveland CO 80538-9088
Phone: (970) 490-4209
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 37327 | Colorado |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37327 | Colorado |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 37327 | Colorado |
Profile Details
NPI number | 1700856671 |
---|---|
LBN Legal business name | Liao Ong, Jacob Chua |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2006 |
Last updated | May 19th, 2016 - about 8 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 | 1700856671 | NPPES |
Colorado | MEDICAID | 78088577 | |
Colorado | Other | P00162672 | |
Colorado | MEDICAID | 10025181600 | |
Colorado | MEDICAID | 120663000 |
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