Matsuoka, Mitsuo

Matsuoka, Mitsuo is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc, Department Of Medicine, Section Of Pulmonary, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Matsuoka, Mitsuo can be contacted via phone (603) 650-5000.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc, Department Of Medicine, Section Of Pulmonary Lebanon NH 03756-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 13598 New Hampshire

Profile Details

NPI number 1346449667
LBN Legal business name Matsuoka, Mitsuo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated May 4th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346449667 NPPES
Vermont MEDICAID 1013908
Vermont MEDICAID 30207190

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