Bressack, Michael Allen

Bressack, Michael Allen is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Dept, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bressack, Michael Allen can be contacted via phone (408) 885-5405.

Contact Information

Primary practice address
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604
Phone: (408) 885-5405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G32204 California

Profile Details

NPI number 1588637037
LBN Legal business name Bressack, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 2007 - about 17 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 1588637037 NPPES
California MEDICAID 00G322040

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