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
Fax: (910) 323-9867
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124010053 NPPES
North Carolina MEDICAID 3404172
North Carolina Other 89569
North Carolina Other 12393

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