Yanagisawa, Ken

Yanagisawa, Ken is an individual health care provider with primary practice located at 1 Long Wharf Dr Suite 302, New Haven CT 06511-5991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Yanagisawa, Ken can be contacted via phone (203) 787-4244.

Contact Information

Primary practice address
1 Long Wharf Dr Suite 302 New Haven CT 06511-5991
Phone: (203) 787-4244
Fax: (203) 776-7741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 032855 Connecticut

Profile Details

NPI number 1225055064
LBN Legal business name Yanagisawa, Ken
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 2nd, 2009 - about 15 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 1225055064 NPPES
Connecticut MEDICAID 001328550
Connecticut Other 040006994

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