Davanzo, Louis A

Davanzo, Louis A is an sole proprietor health care provider with primary practice located at 30 Aulike St Ste 301, Kailua HI 96734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davanzo, Louis A can be contacted via phone (808) 262-5113.

Contact Information

Primary practice address
30 Aulike St Ste 301 Kailua HI 96734
Fax: (808) 261-8894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD 1850 Hawaii

Profile Details

NPI number 1144333451
LBN Legal business name Davanzo, Louis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Nov 15th, 2007 - about 18 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 1144333451 NPPES
Hawaii MEDICAID 03007301

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