Kumasaka, Peter

Kumasaka, Peter is an individual health care provider with primary practice located at 640 Jackson St Mc 11102F, St Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kumasaka, Peter can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Mc 11102F St Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36069 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36596 Minnesota

Profile Details

NPI number 1063489029
LBN Legal business name Kumasaka, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 29th, 2023 - about last year

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 1063489029 NPPES
Minnesota MEDICAID 995018400

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