Mizuba, Eric S.

Mizuba, Eric S. is an sole proprietor health care provider with primary practice located at 65-1206 Mamalahoa Hwy Ste 3-12 , Kamuela HI 96743-7303. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mizuba, Eric S. can be contacted via phone (814) 490-3104.

Contact Information

Primary practice address
65-1206 Mamalahoa Hwy Ste 3-12 Kamuela HI 96743-7303
Fax: (814) 833-9355
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007380L Pennsylvania

Profile Details

NPI number 1881656254
LBN Legal business name Mizuba, Eric S.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Mar 21st, 2018 - about 8 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 1881656254 NPPES
Pennsylvania MEDICAID 001786492/0002

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