Miyama, David T
Miyama, David T is an individual health care provider with primary practice located at 2350 N Lake Dr Suite 406, Milwaukee WI 53211-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Miyama, David T can be contacted via phone (414) 271-4141.Contact Information
Primary practice address
2350 N Lake Dr Suite 406
Milwaukee WI 53211-4528
Phone: (414) 271-4141
Fax: (414) 271-4343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4301051920 | Michigan |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 33184 | Wisconsin |
Profile Details
| NPI number | 1568443240 |
|---|---|
| LBN Legal business name | Miyama, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Mar 18th, 2016 - about 8 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 | 1568443240 | NPPES |
| Michigan | Other | 0400661 | HELATHPLUS PROVIDER ID |
| Michigan | MEDICAID | 4172040 | HELATHPLUS PROVIDER ID |
| Michigan | Other | 0090129 | HELATHPLUS PROVIDER ID |
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