Duke E. Wagner,Ph.D.,Inc.

LBN: Duke E. Wagner,Ph.D.,Inc.
Duke E. Wagner,Ph.D.,Inc. is an health care organization with primary practice located at 970 N Kalaheo Ave A204, Kailua HI 96734-1801. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Duke E. Wagner,Ph.D.,Inc. can be contacted via phone (808) 254-5468, or through Wagner, Duke Elvin via phone (808) 254-5468.

Contact Information

Primary practice address
970 N Kalaheo Ave A204 Kailua HI 96734-1801
Phone: (808) 254-5468
Fax: (808) 262-4437
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Duke Elvin PH.D.
Phone: (808) 254-5468

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY298 Hawaii

Profile Details

NPI number 1356555791
LBN Legal business name Duke E. Wagner,Ph.D.,Inc.
DBA Doing business as
Authorized official Wagner, Duke Elvin PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jun 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356555791 NPPES
Hawaii Other 0000003889 HMSA
Hawaii MEDICAID 00461901 HMSA

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