Hatashita, Michael Bruce

Hatashita, Michael Bruce is an individual health care provider with primary practice located at 7900 Zenith Dr , Citrus Heights CA 95621-1075. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hatashita, Michael Bruce can be contacted via phone (916) 725-2020.

Contact Information

Primary practice address
7900 Zenith Dr Citrus Heights CA 95621-1075
Phone: (916) 725-2020
Fax: (916) 725-1750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6944T California

Profile Details

NPI number 1356399778
LBN Legal business name Hatashita, Michael Bruce
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 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 1356399778 NPPES
California MEDICAID SD0069440

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