Liao Ong, Jacob Chua

Liao Ong, Jacob Chua is an individual health care provider with primary practice located at 1625 Foxtrail Dr Suite 200, Loveland CO 80538-9088. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Liao Ong, Jacob Chua can be contacted via phone (970) 490-4209.

Contact Information

Primary practice address
1625 Foxtrail Dr Suite 200 Loveland CO 80538-9088
Phone: (970) 490-4209
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 37327 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37327 Colorado
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 37327 Colorado

Profile Details

NPI number 1700856671
LBN Legal business name Liao Ong, Jacob Chua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated May 19th, 2016 - about 9 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 1700856671 NPPES
Colorado MEDICAID 78088577
Colorado Other P00162672
Colorado MEDICAID 10025181600
Colorado MEDICAID 120663000

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