Kawamitsu, Takashi

Kawamitsu, Takashi is an individual health care provider with primary practice located at 1 Edmundson Pl , Council Bluffs IA 51503-4658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kawamitsu, Takashi can be contacted via phone (712) 396-4340.

Contact Information

Primary practice address
1 Edmundson Pl Council Bluffs IA 51503-4658
Phone: (712) 396-4340
Fax: (712) 396-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 21889 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34312 Iowa

Profile Details

NPI number 1033295308
LBN Legal business name Kawamitsu, Takashi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 14th, 2014 - about 10 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 1033295308 NPPES
Nebraska MEDICAID 47068731712
Nebraska MEDICAID 1033295308

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