Hisamoto, John Allen

Hisamoto, John Allen is an individual health care provider with primary practice located at 13801 Bruce B Downs Blvd Suite 303, Tampa FL 33613-3946. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hisamoto, John Allen can be contacted via phone (813) 979-4819.

Contact Information

Primary practice address
13801 Bruce B Downs Blvd Suite 303 Tampa FL 33613-3946
Phone: (813) 979-4819
Fax: (813) 975-8708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5271 Florida

Profile Details

NPI number 1962490938
LBN Legal business name Hisamoto, John Allen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 18 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 1962490938 NPPES
Other K2780 MEDICARE GROUP NUMBER
Other Y4306 MEDICARE GROUP NUMBER

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