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
Phone: (814) 490-3104
Fax: (814) 833-9355
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881656254 | NPPES |
| Pennsylvania | MEDICAID | 001786492/0002 |
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