Superak, Andrew

Superak, Andrew is an individual health care provider with primary practice located at 315 W 14Th St , Davis CA 95616-1914. 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. Superak, Andrew can be contacted via phone (530) 757-5400.

Contact Information

Primary practice address
315 W 14Th St Davis CA 95616-1914
Phone: (530) 757-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1558900860
LBN Legal business name Superak, Andrew
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 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.

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