Mizuno, Philip B

Mizuno, Philip B is an individual health care provider with primary practice located at 12250 E Iliff Ave #300, Aurora CO 80014-6318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mizuno, Philip B can be contacted via phone (303) 306-4321.

Contact Information

Primary practice address
12250 E Iliff Ave #300 Aurora CO 80014-6318
Phone: (303) 306-4321
Fax: (720) 524-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 109684 Colorado

Profile Details

NPI number 1518912500
LBN Legal business name Mizuno, Philip B
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated May 26th, 2015 - about 9 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 1518912500 NPPES
Colorado MEDICAID 58685545

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