Iwata, Samuel H
Iwata, Samuel H is an sole proprietor health care provider with primary practice located at 1699 Medical Center Pt , Colorado Springs CO 80907-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Iwata, Samuel H can be contacted via phone (719) 632-7101.Contact Information
Primary practice address
1699 Medical Center Pt
Colorado Springs CO 80907-5700
Phone: (719) 632-7101
Fax: (719) 632-4468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25997 | Colorado |
Profile Details
| NPI number | 1730273996 |
|---|---|
| LBN Legal business name | Iwata, Samuel H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730273996 | NPPES |
| Colorado | MEDICAID | 1259977 |
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