Bearden, Thomas Stennis

Bearden, Thomas Stennis is an individual health care provider with primary practice located at 101 Aupuni St Suite 1014 A-2, Hilo HI 96720-4246. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bearden, Thomas Stennis can be contacted via phone (808) 935-2605.

Contact Information

Primary practice address
101 Aupuni St Suite 1014 A-2 Hilo HI 96720-4246
Phone: (808) 935-2605
Fax: (808) 935-2650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 888 Hawaii

Profile Details

NPI number 1659442218
LBN Legal business name Bearden, Thomas Stennis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 17th, 2011 - about 13 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 1659442218 NPPES
Hawaii Other 0000252676 HMSA PROVIDER NUMBER
Hawaii MEDICAID 57172001 HMSA PROVIDER NUMBER

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