Mccluskey, Edward A
Mccluskey, Edward A is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mccluskey, Edward A can be contacted via phone (909) 558-4475.Contact Information
Primary practice address
11234 Anderson St
Loma Linda CA 92354-2804
Phone: (909) 558-4475
Fax: (909) 558-0187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G70496 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | G70496 | California |
Profile Details
| NPI number | 1457322380 |
|---|---|
| LBN Legal business name | Mccluskey, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Sep 22nd, 2023 - about last year |
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 | 1457322380 | NPPES |
| Other | 808594001 | REGENCE | |
| Other | O132758 | REGENCE | |
| Other | 11132427 | REGENCE | |
| Other | O50073107 | REGENCE | |
| Other | 57195 | REGENCE | |
| MEDICAID | 1109156 | REGENCE | |
| MEDICAID | O57195 | REGENCE |
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