Sato, Sam Edwin

Sato, Sam Edwin is an sole proprietor health care provider with primary practice located at 3910 N Campbell Ave , Tucson AZ 85719-1428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sato, Sam Edwin can be contacted via phone (520) 323-2466.

Contact Information

Primary practice address
3910 N Campbell Ave Tucson AZ 85719-1428
Fax: (520) 323-2968
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14758 Arizona

Profile Details

NPI number 1831196427
LBN Legal business name Sato, Sam Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jun 27th, 2012 - about 12 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 1831196427 NPPES
Arizona Other 02719 TRICARE
Arizona Other 02719 TRICARE
Arizona Other 005302638 TRICARE
Arizona Other 1Z2321 TRICARE
Arizona MEDICAID 247751 TRICARE
Arizona Other AZ0181600 TRICARE

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