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
Phone: (808) 488-7770
Fax: (808) 487-0104
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427060763 | NPPES |
| Hawaii | MEDICAID | 047827-01 |
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