Iwamoto, Satori

Iwamoto, Satori is an individual health care provider with primary practice located at 50 Maude St , Providence RI 02908-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Iwamoto, Satori can be contacted via phone (401) 456-2327.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-2327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11161 Rhode Island

Profile Details

NPI number 1609820604
LBN Legal business name Iwamoto, Satori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609820604 NPPES
Rhode Island MEDICAID 9024198

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