| Chua Family Practice, Pllc | |
|
1092 Harrison Ave Elkins WV 26241-3671 | |
| (304) 637-0433 | |
| (304) 637-0435 |
| Full Name | Chua Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1092 Harrison Ave, Elkins, West Virginia |
| Authorized Official Name and Position | Connie M Brown (OFFICE MANAGER) |
| Authorized Official Contact | 3046370433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chua Family Practice, Pllc Po Box 490 Elkins WV 26241-0490 Ph: (304) 637-0433 | Chua Family Practice, Pllc 1092 Harrison Ave Elkins WV 26241-3671 Ph: (304) 637-0433 |
| NPI Number | 1700948239 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700948239 | NPI | - | NPPES |
| 3810004769 | Medicaid | WV | |
| P00012945 | Other | WV | RR MEDICARE |
| P00118111 | Other | WV | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV1833 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | WV1965 (West Virginia) | Primary |
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