Tambellini, Mark
Tambellini, Mark is an sole proprietor health care provider with primary practice located at 5021 Brower Ct , Granite Bay CA 95746-6742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Tambellini, Mark can be contacted via phone (916) 761-9399.Contact Information
Primary practice address
5021 Brower Ct
Granite Bay CA 95746-6742
Phone: (916) 761-9399
Fax: (916) 774-4360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | G37599 | California |
Profile Details
| NPI number | 1902115793 |
|---|---|
| LBN Legal business name | Tambellini, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2010 |
| Last updated | Sep 28th, 2010 - about 16 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 | 1902115793 | NPPES |
| California | Other | G37599 | MEDICAL BOARD OF CALIFORNIA |
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