Ito, Kouta
Ito, Kouta is an individual health care provider with primary practice located at 291 Lincoln St , Worcester MA 01605-3643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ito, Kouta can be contacted via phone (508) 334-6251.Contact Information
Primary practice address
291 Lincoln St
Worcester MA 01605-3643
Phone: (508) 334-6251
Fax: (508) 334-6906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 266750 | Massachusetts |
Profile Details
| NPI number | 1295905115 |
|---|---|
| LBN Legal business name | Ito, Kouta |
| Credentials | M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2008 |
| Last updated | May 1st, 2022 - 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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