Inouye, Steven Tadashi

Inouye, Steven Tadashi is an sole proprietor health care provider with primary practice located at 433 9Th St , Crescent City CA 95531-3431. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Inouye, Steven Tadashi can be contacted via phone (707) 464-5215.

Contact Information

Primary practice address
433 9Th St Crescent City CA 95531-3431
Fax: (707) 465-5043
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5540TPA California

Profile Details

NPI number 1124078480
LBN Legal business name Inouye, Steven Tadashi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jul 16th, 2009 - about 15 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 1124078480 NPPES
California MEDICAID SD0055400

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