Niizawa, Charlene Midori

Niizawa, Charlene Midori is an individual health care provider with primary practice located at 3553 Whipple Rd , Union City CA 94587-1507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Niizawa, Charlene Midori can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
3553 Whipple Rd Union City CA 94587-1507
Phone: (510) 454-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G77048 California

Profile Details

NPI number 1558449314
LBN Legal business name Niizawa, Charlene Midori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 2nd, 2021 - about 4 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 1558449314 NPPES
California MEDICAID 00G770480

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