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
Fax: (808) 274-3194
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871638304 NPPES
Hawaii MEDICAID 53937201

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