Iwamoto, Matthew

Iwamoto, Matthew is an individual health care provider with primary practice located at 222 N 7Th St , Bismarck ND 58501-4436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Iwamoto, Matthew can be contacted via phone (701) 323-6000.

Contact Information

Primary practice address
222 N 7Th St Bismarck ND 58501-4436
Phone: (701) 323-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G56369 California

Profile Details

NPI number 1073547014
LBN Legal business name Iwamoto, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 7th, 2013 - about 12 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 1073547014 NPPES
California MEDICAID 00G563690
California Other 00G563690

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