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Contact Information

ERIC D WELLS, MD
20055 LAKE CHABOT RD
#320
CASTRO VALLEY, CA94546
 Phone: 510-889-8900
 Fax: 510-727-9811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ERIC D WELLS · (Male)

NPI Number 1386658730
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2006
Last updated 07/11/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G51925
  • CA Medicaid 00G519250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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