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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1710962998 NPPES
California MEDICAID 00G550370

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