Koizumi, Hisako M
Koizumi, Hisako M is an sole proprietor health care provider with primary practice located at 2929 Kenny Rd Suite 185, Columbus OH 43221-2415. She recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as her primary health care specialty. Koizumi, Hisako M can be contacted via phone (614) 783-7478.Contact Information
Primary practice address
2929 Kenny Rd Suite 185
Columbus OH 43221-2415
Phone: (614) 783-7478
Fax: (614) 293-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 35039915 | Ohio |
Profile Details
| NPI number | 1548326275 |
|---|---|
| LBN Legal business name | Koizumi, Hisako M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1548326275 | NPPES |
| Ohio | MEDICAID | 405814 |
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