Sanford, Mark Joseph

Sanford, Mark Joseph is an individual health care provider with primary practice located at 31 Panoramic Way Fl 1 , Walnut Creek CA 94595-1627. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Sanford, Mark Joseph can be contacted via phone (925) 938-8686.

Contact Information

Primary practice address
31 Panoramic Way Fl 1 Walnut Creek CA 94595-1627
Phone: (925) 938-8686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU1138 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA2506 California

Profile Details

NPI number 1962578914
LBN Legal business name Sanford, Mark Joseph
Credentials MS, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 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 1962578914 NPPES
California MEDICAID AU0011380
California Other AU0011380
California Other HA0025060

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