Individual
MR. NICHOLAS CHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
850 ENTERPRISE PKWY STE 2200, HAMPTON, VA 23666-6252
(757) 251-2170
(757) 251-2185
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007409
VA
Other
Enumeration date
08/09/2019
Last updated
09/09/2020
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