Ambrose, Timothy Kemp

Ambrose, Timothy Kemp is an sole proprietor health care provider with primary practice located at 14-4034 Pahoa-Kalapana Road , Pahoa HI 96778. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ambrose, Timothy Kemp can be contacted via phone (808) 965-9416.

Contact Information

Primary practice address
14-4034 Pahoa-Kalapana Road Pahoa HI 96778
Phone: (808) 965-9416
Fax: (808) 965-1661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-735 Hawaii

Profile Details

NPI number 1003913435
LBN Legal business name Ambrose, Timothy Kemp
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 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 1003913435 NPPES
Hawaii Other 53129501 ALOHACARE PIN NUMBER
Hawaii MEDICAID 53129501 ALOHACARE PIN NUMBER
Hawaii Other PSY-735 ALOHACARE PIN NUMBER
Hawaii Other 0000240218 ALOHACARE PIN NUMBER
Hawaii Other 0240218 ALOHACARE PIN NUMBER

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