Kanzawa, Mark Masao
Kanzawa, Mark Masao is an individual health care provider with primary practice located at 420 W 5Th Ave , Flint MI 48503-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kanzawa, Mark Masao can be contacted via phone (810) 257-3736.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101010484 | Michigan |
Profile Details
| NPI number | 1982617288 |
|---|---|
| LBN Legal business name | Kanzawa, Mark Masao |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Mar 14th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982617288 | NPPES |
| Michigan | MEDICAID | 4141722 | |
| Michigan | Other | 2653900774 |
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