Liu, Edward
Liu, Edward is an individual health care provider with primary practice located at 3311 Pacific Ave , Livermore CA 94550-7007. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Liu, Edward can be contacted via phone (925) 462-1755.Contact Information
Primary practice address
3311 Pacific Ave
Livermore CA 94550-7007
Phone: (925) 462-1755
Fax: (925) 201-6295
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN60118146 | Washington |
Nursing Service Providers / Registered Nurse | 163W00000X | RN709195 | California |
Nursing Service Providers / Community Health | 163WC1500X | PHN74857 | California |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP19114 | California |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP60118946 | Washington |
Profile Details
NPI number | 1114253457 |
---|---|
LBN Legal business name | Liu, Edward |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2009 |
Last updated | Feb 19th, 2013 - about 12 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 | 1114253457 | NPPES |
Washington | MEDICAID | 9662180 | |
Washington | Other | G8890350 |
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