Sasao, Mark Alan
Sasao, Mark Alan is an sole proprietor health care provider with primary practice located at 3756 S Bascom Ave , San Jose CA 95124-2662. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Sasao, Mark Alan can be contacted via phone (408) 559-5119.Contact Information
Primary practice address
3756 S Bascom Ave
San Jose CA 95124-2662
Phone: (408) 559-5119
Fax: (408) 559-5139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 155070 | California |
Profile Details
NPI number | 1942218375 |
---|---|
LBN Legal business name | Sasao, Mark Alan |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2006 |
Last updated | Jul 30th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942218375 | NPPES |
California | Other | ZZZ52041Y | BLUE SHIELD PIN |
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