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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1942218375 NPPES
California Other ZZZ52041Y BLUE SHIELD PIN

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