Shiozawa, Brian Jacobs

Shiozawa, Brian Jacobs is an individual health care provider with primary practice located at 200 Brule St Bldg 871 , Fort Knox KY 40121-6100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Shiozawa, Brian Jacobs can be contacted via phone (502) 626-9743.

Contact Information

Primary practice address
200 Brule St Bldg 871 Fort Knox KY 40121-6100
Phone: (502) 626-9743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X P9732 Texas
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X P9732 Texas

Profile Details

NPI number 1467713354
LBN Legal business name Shiozawa, Brian Jacobs
Credentials MD, MPH, MHA, FACOEM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Nov 8th, 2023 - about 3 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 1467713354 NPPES
Other 88680083540 MEDICAL EXAMINER
Other 22-173750 MEDICAL EXAMINER

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