Fong, Andrew R.

Fong, Andrew R. is an individual health care provider with primary practice located at 74-517 Honokohau St , Kailua Kona HI 96740-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fong, Andrew R. can be contacted via phone (808) 334-4400.

Contact Information

Primary practice address
74-517 Honokohau St Kailua Kona HI 96740-2715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-10156 Hawaii

Profile Details

NPI number 1982759064
LBN Legal business name Fong, Andrew R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated May 26th, 2021 - about 4 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 1982759064 NPPES
Hawaii MEDICAID 088197-01
Hawaii Other 0000215194

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