Amilasan, Nasser C

Amilasan, Nasser C is an individual health care provider with primary practice located at 6725 Inglewood Ave , Stockton CA 95207-3865. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Amilasan, Nasser C can be contacted via phone (209) 368-1009.

Contact Information

Primary practice address
6725 Inglewood Ave Stockton CA 95207-3865
Phone: (209) 368-1009
Fax: (209) 368-1024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 17823 California

Profile Details

NPI number 1932246576
LBN Legal business name Amilasan, Nasser C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 8th, 2011 - 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 1932246576 NPPES
California Other P00444361 RAILROAD MEDICARE PTAN
California Other PT 17823 RAILROAD MEDICARE PTAN

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