Bason-Mitchell, Mark Sterling

Bason-Mitchell, Mark Sterling is an individual health care provider with primary practice located at 1900 Sullivan Ave , Daly City CA 94015-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bason-Mitchell, Mark Sterling can be contacted via phone (415) 992-4000.

Contact Information

Primary practice address
1900 Sullivan Ave Daly City CA 94015-2200
Phone: (415) 992-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01088384A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD219339 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A72356 California

Profile Details

NPI number 1356389639
LBN Legal business name Bason-Mitchell, Mark Sterling
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 28th, 2024 - about 9 months 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 1356389639 NPPES
California MEDICAID 00A723560

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