Mizuno, Ayako
Mizuno, Ayako is an individual health care provider with primary practice located at 2500 N Mayfair Rd Ste 410 , Wauwatosa WI 53226-1415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Mizuno, Ayako can be contacted via phone (414) 687-0087.Contact Information
Primary practice address
2500 N Mayfair Rd Ste 410
Wauwatosa WI 53226-1415
Phone: (414) 687-0087
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Acupuncturist | 171100000X | ACU-1267 | Hawaii |
Other Service Providers / Acupuncturist | 171100000X | 1002-55 | Wisconsin |
Profile Details
NPI number | 1609882398 |
---|---|
LBN Legal business name | Mizuno, Ayako |
Credentials | DAOM, LAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Feb 4th, 2021 - about 3 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 | 1609882398 | NPPES |
California | Other | 101YM0800X | COUNSELOR |
California | Other | 1002-55 | COUNSELOR |
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