Mizoguchi, John T

Mizoguchi, John T is an individual health care provider with primary practice located at 111 Hana Hwy Ste 107 , Kahului HI 96732-2300. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mizoguchi, John T can be contacted via phone (808) 877-8717.

Contact Information

Primary practice address
111 Hana Hwy Ste 107 Kahului HI 96732-2300
Fax: (808) 877-8718
Website:

Health care specialties

Profile Details

NPI number 1376654392
LBN Legal business name Mizoguchi, John T
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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 1376654392 NPPES
Hawaii MEDICAID 52704601

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