Sage, Anthony Michael

Sage, Anthony Michael is an individual health care provider with primary practice located at 6302 13Th Ave , Lucerne CA 95458. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Sage, Anthony Michael can be contacted via phone (707) 274-9101.

Contact Information

Primary practice address
6302 13Th Ave Lucerne CA 95458
Phone: (707) 274-9101
Fax: (707) 274-9192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1518454206
LBN Legal business name Sage, Anthony Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2018
Last updated Apr 18th, 2018 - about 7 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 1518454206 NPPES
California MEDICAID 946000825

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