Kagel, Eric Moss
Kagel, Eric Moss is an individual health care provider with primary practice located at 2505 Samaritan Dr Ste 208, San Jose CA 95124-4008. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kagel, Eric Moss can be contacted via phone (408) 358-3555.Contact Information
Primary practice address
2505 Samaritan Dr Ste 208
San Jose CA 95124-4008
Phone: (408) 358-3555
Fax: (408) 358-3505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A72723 | California |
Profile Details
| NPI number | 1104822030 |
|---|---|
| LBN Legal business name | Kagel, Eric Moss |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104822030 | NPPES |
| California | Other | 00A727230 | BLUE SHIELD |
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