Bellfort, Eric S.

Bellfort, Eric S. is an individual health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bellfort, Eric S. can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14504 California
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA14504 California

Profile Details

NPI number 1073504403
LBN Legal business name Bellfort, Eric S.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 18th, 2020 - about 4 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 1073504403 NPPES
California Other OPA145040 BLUE SHIELD
California MEDICAID OPA145040 BLUE SHIELD

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