Ishimoto, Gregory Shoichi

Ishimoto, Gregory Shoichi is an individual health care provider with primary practice located at 4100 Dewey St , Manitowoc WI 54220-5497. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ishimoto, Gregory Shoichi can be contacted via phone (805) 624-0615.

Contact Information

Primary practice address
4100 Dewey St Manitowoc WI 54220-5497
Phone: (805) 624-0615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56106-020 Wisconsin

Profile Details

NPI number 1164681896
LBN Legal business name Ishimoto, Gregory Shoichi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Aug 29th, 2011 - about 14 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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