Fukumoto, Jon

Fukumoto, Jon is an individual health care provider with primary practice located at 1329 Lusitana St Ste 307 , Honolulu HI 96813-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Fukumoto, Jon can be contacted via phone (808) 524-6115.

Contact Information

Primary practice address
1329 Lusitana St Ste 307 Honolulu HI 96813-2435
Phone: (808) 524-6115
Fax: (808) 528-1711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD 13701 Hawaii

Profile Details

NPI number 1477663284
LBN Legal business name Fukumoto, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 18th, 2019 - about 6 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 1477663284 NPPES
Hawaii Other 0000262758 HMSA
Hawaii MEDICAID 586125-01 HMSA

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