Barry, Jessica Suzanne
Barry, Jessica Suzanne is an individual health care provider with primary practice located at 550 S Beretania St Suite 601, Honolulu HI 96813-2414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Barry, Jessica Suzanne can be contacted via phone (808) 691-8877.Contact Information
Primary practice address
550 S Beretania St Suite 601
Honolulu HI 96813-2414
Phone: (808) 691-8877
Fax: (808) 691-8875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 14175 | Hawaii |
Profile Details
NPI number | 1285832527 |
---|---|
LBN Legal business name | Barry, Jessica Suzanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2007 |
Last updated | Nov 11th, 2016 - about 9 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 | 1285832527 | NPPES |
Hawaii | MEDICAID | 622573-02 | |
Hawaii | Other | 0000278200 |
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