Abe, Richard R

Abe, Richard R is an individual health care provider with primary practice located at 280 N Jackson Ave Ste A, San Jose CA 95116-1607. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Abe, Richard R can be contacted via phone (408) 923-0309.

Contact Information

Primary practice address
280 N Jackson Ave Ste A San Jose CA 95116-1607
Phone: (408) 923-0309
Fax: (408) 923-2433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1740 California

Profile Details

NPI number 1972682433
LBN Legal business name Abe, Richard R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1972682433 NPPES
California MEDICAID 000E1740

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