Chu, Michael
Chu, Michael is an sole proprietor health care provider with primary practice located at 754 Montauk Hwy , West Islip NY 11795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chu, Michael can be contacted via phone (631) 422-0909.Contact Information
Primary practice address
754 Montauk Hwy
West Islip NY 11795
Phone: (631) 422-0909
Fax: (631) 422-6660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS013322 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 261287 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 261287 | New York |
Profile Details
| NPI number | 1275784670 |
|---|---|
| LBN Legal business name | Chu, Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Nov 25th, 2020 - about 6 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 | 1275784670 | NPPES |
| Other | 059NB2 | BCBS | |
| Other | 3313279 | BCBS | |
| Other | 1047328 | BCBS | |
| Other | 9578677 | BCBS |
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