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
Phone: (520) 323-2466
Fax: (520) 323-2968
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 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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