Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 050906 | NY |
Y | 1223E0200X | Endodontist | 2370 | HI |
N | 1223G0001X | General Practice | 050906 | NY |
N | 213EG0000X | General Practice | 050906 | NY |
NPI | 1104958446 |
---|---|
Provider Name | Dr. Joseph H Chu |
First Address | Honolulu, HI 96814-2135 |
Second Address | Honolulu, HI 96814-2135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 14/07/2010 |