Jelks, Andrea T

Jelks, Andrea T is an individual health care provider with primary practice located at 751 S Bascom Ave Ob Gyn Dept, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Jelks, Andrea T can be contacted via phone (408) 885-5000.

Contact Information

Primary practice address
751 S Bascom Ave Ob Gyn Dept San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A77038 California
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X A77038 California

Profile Details

NPI number 1326185448
LBN Legal business name Jelks, Andrea T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 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 1326185448 NPPES
California MEDICAID 00A770380

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