Miyake, Bob Kyo

Miyake, Bob Kyo is an individual health care provider with primary practice located at 2485 W Horizon Ridge Pkwy Suite 100, Henderson NV 89052-5948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Miyake, Bob Kyo can be contacted via phone (702) 212-5889.

Contact Information

Primary practice address
2485 W Horizon Ridge Pkwy Suite 100 Henderson NV 89052-5948
Phone: (702) 212-5889
Fax: (702) 212-5890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 15295 Nevada

Profile Details

NPI number 1760590582
LBN Legal business name Miyake, Bob Kyo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 30th, 2023 - about 3 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 1760590582 NPPES
Nevada Other V108863 MEDICARE PTAN

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