Captain, Sun
Captain, Sun is an individual health care provider with primary practice located at 3031 Telegraph Ave Ste 217 , Berkeley CA 94705-2053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Captain, Sun can be contacted via phone (510) 981-8222.Contact Information
Primary practice address
3031 Telegraph Ave Ste 217
Berkeley CA 94705-2053
Phone: (510) 981-8222
Fax: (510) 981-8228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17206 | California |
Profile Details
NPI number | 1265791891 |
---|---|
LBN Legal business name | Captain, Sun |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2012 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1265791891 | NPPES |
California | Other | PA 17206 | PA LICENSE |
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