Kirby, John Charles

Kirby, John Charles is an individual health care provider with primary practice located at 5528 E La Palma Ave Suite 4-A, Anaheim CA 92807-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kirby, John Charles can be contacted via phone (714) 970-0200.

Contact Information

Primary practice address
5528 E La Palma Ave Suite 4-A Anaheim CA 92807-2115
Fax: (714) 970-0270
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20A4275 California

Profile Details

NPI number 1033155346
LBN Legal business name Kirby, John Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 17th, 2014 - about 10 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 1033155346 NPPES
California MEDICAID 00AX42750

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