Provider Demographics
NPI:1629191150
Name:SAUNTER, MICHAEL (HEALTH WORKER I)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SAUNTER
Suffix:
Gender:M
Credentials:HEALTH WORKER I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3104
Mailing Address - Country:US
Mailing Address - Phone:415-401-2766
Mailing Address - Fax:415-401-2774
Practice Address - Street 1:2712 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3104
Practice Address - Country:US
Practice Address - Phone:415-401-2766
Practice Address - Fax:415-401-2774
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2648OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
2648OtherSFGH INTERNAL USE ONLY