Go, Janice Chua
Go, Janice Chua is an individual health care provider with primary practice located at 3585 Lexington Ave N Suite 350, Shoreview MN 55126-8064. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Go, Janice Chua can be contacted via phone (651) 484-3942.Contact Information
Primary practice address
3585 Lexington Ave N Suite 350
Shoreview MN 55126-8064
Phone: (651) 484-3942
Fax: (651) 787-0519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 41894 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41894 | Minnesota |
Profile Details
| NPI number | 1972597938 |
|---|---|
| LBN Legal business name | Go, Janice Chua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Dec 1st, 2011 - about 15 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 | 1972597938 | NPPES |
| Minnesota | Other | 1203069 | MEDICA |
| Minnesota | Other | 299L6GO | MEDICA |
| Minnesota | MEDICAID | 071695200 | MEDICA |
| Minnesota | Other | CP9091022251 | MEDICA |
| Minnesota | Other | 1202358 | MEDICA |
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