Provider Demographics
NPI:1104958446
Name:CHU, JOSEPH H
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:CHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 KAPIOLANI BLVD APT 1005
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2135
Mailing Address - Country:US
Mailing Address - Phone:808-636-7949
Mailing Address - Fax:
Practice Address - Street 1:909 KAPIOLANI BLVD APT 1005
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2135
Practice Address - Country:US
Practice Address - Phone:808-636-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0509061223E0200X, 1223G0001X
HI23701223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice