Brack, Mona S

Brack, Mona S is an individual health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2402. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Brack, Mona S can be contacted via phone (808) 547-4823.

Contact Information

Primary practice address
1301 Punchbowl St Honolulu HI 96813-2402
Phone: (808) 547-4823
Fax: (808) 585-5399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN 34498 Hawaii

Profile Details

NPI number 1720142862
LBN Legal business name Brack, Mona S
Credentials R.N., CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1720142862 NPPES
Hawaii Other 0000260828 HMSA PROVIDER NUMBER

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