Neely, Edward Kirk
Neely, Edward Kirk is an individual health care provider with primary practice located at 751 S Bascom Ave , San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Neely, Edward Kirk can be contacted via phone (408) 885-7422.Contact Information
Primary practice address
751 S Bascom Ave
San Jose CA 95128-2604
Phone: (408) 885-7422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | G55037 | California |
Profile Details
| NPI number | 1710962998 |
|---|---|
| LBN Legal business name | Neely, Edward Kirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | May 15th, 2012 - 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 | 1710962998 | NPPES |
| California | MEDICAID | 00G550370 |
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