Chua, Marietta M.

Chua, Marietta M. is an sole proprietor health care provider with primary practice located at 4 Sweet Gum Ln , Hilton Head Island SC 29928-4207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Chua, Marietta M. can be contacted via phone (843) 363-2599.

Contact Information

Primary practice address
4 Sweet Gum Ln Hilton Head Island SC 29928-4207
Phone: (843) 363-2599
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X F7722 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 056985 Georgia

Profile Details

NPI number 1619023876
LBN Legal business name Chua, Marietta M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
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 1619023876 NPPES
Texas MEDICAID POOOD74Q6

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