Matsuo, Fumisuke
Matsuo, Fumisuke is an individual health care provider with primary practice located at 30 N 1900 E , Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Matsuo, Fumisuke can be contacted via phone (801) 585-6387.Contact Information
Primary practice address
30 N 1900 E
Salt Lake City UT 84132-0001
Phone: (801) 585-6387
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 157923-1205 | Utah |
Profile Details
| NPI number | 1912097528 |
|---|---|
| LBN Legal business name | Matsuo, Fumisuke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 25th, 2008 - 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 | 1912097528 | NPPES |
| Utah | Other | 756133008 | RAILROAD MEDICARE |
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