Elting, Dirk Taylor
Elting, Dirk Taylor is an sole proprietor health care provider with primary practice located at 46-001 Kamehameha Hwy Ste 409 , Kaneohe HI 96744-3749. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Elting, Dirk Taylor can be contacted via phone (808) 236-3222.Contact Information
Primary practice address
46-001 Kamehameha Hwy Ste 409
Kaneohe HI 96744-3749
Phone: (808) 236-3222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1178-03P | Hawaii |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY-674 | Hawaii |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY-674 | Hawaii |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY-674 | Hawaii |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-674 | Hawaii |
Profile Details
| NPI number | 1891725974 |
|---|---|
| LBN Legal business name | Elting, Dirk Taylor |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891725974 | NPPES |
| Hawaii | MEDICAID | 56429601 | |
| Hawaii | Other | 22711-6 | |
| Hawaii | Other | 22711-6 |
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