Matsuura, John Kazuo
Matsuura, John Kazuo is an individual health care provider with primary practice located at 2351 Connecticut Ave S Suite 200, Sartell MN 56377-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Matsuura, John Kazuo can be contacted via phone (320) 259-1411.Contact Information
Primary practice address
2351 Connecticut Ave S Suite 200
Sartell MN 56377-2477
Phone: (320) 259-1411
Fax: (320) 259-8967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 22404 | Minnesota |
Profile Details
| NPI number | 1023052776 |
|---|---|
| LBN Legal business name | Matsuura, John Kazuo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 2nd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023052776 | NPPES |
| Minnesota | Other | 340000903 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 936303300 | RAILROAD MEDICARE |
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