1780683862 NPI number — MYRIAM ANN SAKAI C.P.N.P.

Table of content: MYRIAM ANN SAKAI C.P.N.P. (NPI 1780683862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780683862 NPI number — MYRIAM ANN SAKAI C.P.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAKAI
Provider First Name:
MYRIAM
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
C.P.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DACCACHE
Provider Other First Name:
MYRIAM
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780683862
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1475 TANEY AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
FREDERICK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21702-4747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-662-1930
Provider Business Mailing Address Fax Number:
240-379-6710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1475 TANEY AVE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21702-4747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-662-1930
Provider Business Practice Location Address Fax Number:
240-379-6710
Provider Enumeration Date:
07/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0200X , with the licence number:  R125036 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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