Charles, Antonia Maitland
Charles, Antonia Maitland is an individual health care provider with primary practice located at 1993 Mckee Rd Evc Pediatrics Clinic, San Jose CA 95116-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Charles, Antonia Maitland can be contacted via phone (408) 885-5000.Contact Information
Primary practice address
1993 Mckee Rd Evc Pediatrics Clinic
San Jose CA 95116-1406
Phone: (408) 885-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A66380 | California |
Profile Details
| NPI number | 1063481695 |
|---|---|
| LBN Legal business name | Charles, Antonia Maitland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063481695 | NPPES |
| California | MEDICAID | 00A663800 |
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