Niizawa, Jeffrey Morito

Niizawa, Jeffrey Morito is an individual health care provider with primary practice located at 2020 Silver Creek Rd Suite 220, Bullhead City AZ 86442-8476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Niizawa, Jeffrey Morito can be contacted via phone (928) 763-2500.

Contact Information

Primary practice address
2020 Silver Creek Rd Suite 220 Bullhead City AZ 86442-8476
Phone: (928) 763-2500
Fax: (928) 763-0027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 21760 Arizona

Profile Details

NPI number 1922015445
LBN Legal business name Niizawa, Jeffrey Morito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 30th, 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 1922015445 NPPES
Arizona Other 2Z7711 HEALTH NET OF AZ
Arizona Other 4402714 HEALTH NET OF AZ
Arizona Other 3520720 HEALTH NET OF AZ
Arizona MEDICAID 148024 HEALTH NET OF AZ

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