Healthcare Provider Details

I. General information

NPI: 1841018082
Provider Name (Legal Business Name): HARUNA SASAKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 CARLIN ST
FINDLAY OH
45840-1460
US

IV. Provider business mailing address

1314 W SANDUSKY ST APT H3
FINDLAY OH
45840-2376
US

V. Phone/Fax

Practice location:
  • Phone: 419-425-5050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.005585
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: