Ebisu, Roy J

Ebisu, Roy J is an individual health care provider with primary practice located at 98-1079 Moanalua Rd # 420, Aiea HI 96701-4789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ebisu, Roy J can be contacted via phone (808) 488-7770.

Contact Information

Primary practice address
98-1079 Moanalua Rd # 420 Aiea HI 96701-4789
Fax: (808) 487-0104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3677 Hawaii

Profile Details

NPI number 1427060763
LBN Legal business name Ebisu, Roy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Nov 16th, 2009 - about 15 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 1427060763 NPPES
Hawaii MEDICAID 047827-01

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