Sacco, Damon C

Sacco, Damon C is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sacco, Damon C can be contacted via phone (415) 925-7080.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Phone: (415) 925-7080
Fax: (415) 883-8082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07213700 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G59549 California

Profile Details

NPI number 1700862539
LBN Legal business name Sacco, Damon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 4th, 2020 - about 4 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 1700862539 NPPES
Nevada MEDICAID 1700862539
Nevada Other 8933496
Nevada MEDICAID 00G595490
Nevada MEDICAID 200097380A
Nevada MEDICAID 8940304
Nevada Other 0144893
Nevada Other P00327251
Nevada MEDICAID 111189
Nevada MEDICAID 1307792
Nevada MEDICAID 8169682
Nevada Other 300121758
Nevada Other 300123272

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