Caccioppo, Edward J.
Caccioppo, Edward J. is an individual health care provider with primary practice located at 27400 Hesperian Blvd , Hayward CA 94545-4235. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Caccioppo, Edward J. can be contacted via phone (510) 784-4070.Contact Information
Primary practice address
27400 Hesperian Blvd
Hayward CA 94545-4235
Phone: (510) 784-4070
Fax: (510) 184-2014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA15340 | California |
Profile Details
| NPI number | 1992782635 |
|---|---|
| LBN Legal business name | Caccioppo, Edward J. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Dec 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992782635 | NPPES |
| California | MEDICAID | PA15340 |
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