Mizukawa, Matthew
Mizukawa, Matthew is an individual health care provider with primary practice located at 1623 The Vanderbilt Clinic , Nashville TN 37232-0001. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mizukawa, Matthew can be contacted via phone (615) 343-9403.Contact Information
Primary practice address
1623 The Vanderbilt Clinic
Nashville TN 37232-0001
Phone: (615) 343-9403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | TN 9578 | Tennessee |
Profile Details
| NPI number | 1013100551 |
|---|---|
| LBN Legal business name | Mizukawa, Matthew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2007 |
| Last updated | Dec 10th, 2012 - about 13 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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