Sugiura, Shinichiro
Sugiura, Shinichiro is an individual health care provider with primary practice located at 146 Rec Hall , University Park PA 16803-1680. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Sugiura, Shinichiro can be contacted via phone (814) 865-8387.Contact Information
Primary practice address
146 Rec Hall
University Park PA 16803-1680
Phone: (814) 865-8387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36001406A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT007420 | Pennsylvania |
Profile Details
| NPI number | 1467427104 |
|---|---|
| LBN Legal business name | Sugiura, Shinichiro |
| Credentials | PH.D., LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Aug 31st, 2020 - about 6 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 | 1467427104 | NPPES |
| Pennsylvania | Other | RT007420 | ATHLETIC TRAINER |
| Pennsylvania | Other | 36001406A | ATHLETIC TRAINER |
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