Brandman, J D Wailua

Brandman, J D Wailua is an sole proprietor health care provider with primary practice located at 615 Piikoi St Suite 1406, Honolulu HI 96814-3116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Brandman, J D Wailua can be contacted via phone (808) 593-7703.

Contact Information

Primary practice address
615 Piikoi St Suite 1406 Honolulu HI 96814-3116
Phone: (808) 593-7703
Fax: (808) 593-7703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN13 Hawaii

Profile Details

NPI number 1336100049
LBN Legal business name Brandman, J D Wailua
Credentials APRN PMHCNS/NP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jan 9th, 2020 - about 5 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 1336100049 NPPES
Hawaii Other 00A0217578 HMSA/BCBS
Hawaii Other BF505Z HMSA/BCBS
Hawaii MEDICAID 25092001 HMSA/BCBS

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