Tanaka, Mieko
Tanaka, Mieko is an individual health care provider with primary practice located at 955 Fairfield Rd , Fayetteville NC 28303-5358. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Tanaka, Mieko can be contacted via phone (910) 323-9196.Contact Information
Primary practice address
955 Fairfield Rd
Fayetteville NC 28303-5358
Phone: (910) 323-9196
Fax: (910) 323-9867
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 4646 | North Carolina |
Profile Details
NPI number | 1124010053 |
---|---|
LBN Legal business name | Tanaka, Mieko |
Credentials | AU.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Sep 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124010053 | NPPES |
North Carolina | MEDICAID | 3404172 | |
North Carolina | Other | 89569 | |
North Carolina | Other | 12393 |
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