Alicaway, Edgardo

Alicaway, Edgardo is an individual health care provider with primary practice located at 1800 Sullivan Ave Suite 508, Daly City CA 94015-2228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Alicaway, Edgardo can be contacted via phone (650) 756-2597.

Contact Information

Primary practice address
1800 Sullivan Ave Suite 508 Daly City CA 94015-2228
Phone: (650) 756-2597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A50500 California

Profile Details

NPI number 1912954298
LBN Legal business name Alicaway, Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 7th, 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 1912954298 NPPES
California MEDICAID 00A505000

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