Chu Hanson, Elizabeth M

Chu Hanson, Elizabeth M is an individual health care provider with primary practice located at 830 Oak Street Suite 123E, Brockton MA 02301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chu Hanson, Elizabeth M can be contacted via phone (617) 526-5359.

Contact Information

Primary practice address
830 Oak Street Suite 123E Brockton MA 02301
Phone: (617) 526-5359
Fax: (617) 562-5415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 133138 Massachusetts

Profile Details

NPI number 1164403275
LBN Legal business name Chu Hanson, Elizabeth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164403275 NPPES
Massachusetts MEDICAID 0366650

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