Donkervoet, John Cornelius

Donkervoet, John Cornelius is an individual health care provider with primary practice located at 919 Lehua Ave , Pearl City HI 96782-3328. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Donkervoet, John Cornelius can be contacted via phone (808) 236-2260.

Contact Information

Primary practice address
919 Lehua Ave Pearl City HI 96782-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 713 Hawaii

Profile Details

NPI number 1134152580
LBN Legal business name Donkervoet, John Cornelius
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 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 1134152580 NPPES
Hawaii MEDICAID 532350
Hawaii Other 53235000
Hawaii Other 0050240032
Hawaii Other 0050240032
Hawaii Other 990298651-96706-C039

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