Gino, Antonio
Gino, Antonio is an sole proprietor health care provider with primary practice located at 1154 Fort Street Mall Ste 206 , Honolulu HI 96813-2712. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gino, Antonio can be contacted via phone (808) 528-1184.Contact Information
Primary practice address
1154 Fort Street Mall Ste 206
Honolulu HI 96813-2712
Phone: (808) 528-1184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-475 | Hawaii |
Profile Details
| NPI number | 1679523153 |
|---|---|
| LBN Legal business name | Gino, Antonio |
| Credentials | PH.D., CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1679523153 | NPPES |
| Hawaii | MEDICAID | 00137401 |
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