Mizuguchi, Nana N

Mizuguchi, Nana N is an individual health care provider with primary practice located at 2341 Lime Kiln Lane , Louisville KY 40222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Mizuguchi, Nana N can be contacted via phone (502) 899-9979.

Contact Information

Primary practice address
2341 Lime Kiln Lane Louisville KY 40222
Phone: (502) 899-9979
Fax: (502) 899-9939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 33262 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 33262 Kentucky

Profile Details

NPI number 1417937376
LBN Legal business name Mizuguchi, Nana N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 13th, 2014 - about 12 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 1417937376 NPPES
Indiana Other 200439580 INDIANA MEDICAID
Indiana MEDICAID 200439580 INDIANA MEDICAID
Indiana MEDICAID 64064777 INDIANA MEDICAID

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