Noller, David W
Noller, David W is an sole proprietor health care provider with primary practice located at 2550 Samaritan Dr Ste D , San Jose CA 95124-4104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Noller, David W can be contacted via phone (408) 358-7505.Contact Information
Primary practice address
2550 Samaritan Dr Ste D
San Jose CA 95124-4104
Phone: (408) 358-7505
Fax: (408) 358-7521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G-39344 | California |
Profile Details
| NPI number | 1922156157 |
|---|---|
| LBN Legal business name | Noller, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1922156157 | NPPES |
| California | MEDICAID | 00G303440 |
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