Shimada, Keita
Shimada, Keita is an individual health care provider with primary practice located at 1910 University Dr # Ms 1020 , Boise ID 83725-0001. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shimada, Keita can be contacted via phone (208) 407-6526.Contact Information
Primary practice address
1910 University Dr # Ms 1020
Boise ID 83725-0001
Phone: (208) 407-6526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AT-334 | Idaho |
Profile Details
| NPI number | 1386053213 |
|---|---|
| LBN Legal business name | Shimada, Keita |
| Credentials | MK, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2014 |
| Last updated | Aug 5th, 2014 - about 11 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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