Dastrup, Warren L
Dastrup, Warren L is an individual health care provider with primary practice located at 3 3212 Kuhio Highway Kauai Community Mental Health Center, Lihue HI 96766-1142. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Dastrup, Warren L can be contacted via phone (808) 274-2190.Contact Information
Primary practice address
3 3212 Kuhio Highway Kauai Community Mental Health Center
Lihue HI 96766-1142
Phone: (808) 274-2190
Fax: (808) 274-3194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1871638304 |
---|---|
LBN Legal business name | Dastrup, Warren L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871638304 | NPPES |
Hawaii | MEDICAID | 53937201 |
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