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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609882398 NPPES
California Other 101YM0800X COUNSELOR
California Other 1002-55 COUNSELOR

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