Matsuura, John Henry

Matsuura, John Henry is an individual health care provider with primary practice located at 2300 Miami Valley Dr Ste 350 , Dayton OH 45459-1294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Matsuura, John Henry can be contacted via phone (937) 424-2469.

Contact Information

Primary practice address
2300 Miami Valley Dr Ste 350 Dayton OH 45459-1294
Phone: (937) 424-2469
Fax: (937) 424-2479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 37403 Iowa
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.0575510 Ohio

Profile Details

NPI number 1770591562
LBN Legal business name Matsuura, John Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 31st, 2019 - about 7 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 1770591562 NPPES
Ohio MEDICAID 0080833
Ohio MEDICAID 00713325I

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