Suzawa, Mitchell Hisao

Suzawa, Mitchell Hisao is an individual health care provider with primary practice located at 17792 147Th St Se , Monroe WA 98272-1030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Suzawa, Mitchell Hisao can be contacted via phone (360) 794-4892.

Contact Information

Primary practice address
17792 147Th St Se Monroe WA 98272-1030
Phone: (360) 794-4892
Fax: (360) 794-4679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00001201 Washington

Profile Details

NPI number 1538231113
LBN Legal business name Suzawa, Mitchell Hisao
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1538231113 NPPES
Washington MEDICAID 7681455

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