Iannitello, Kathleen Fanshaw
Iannitello, Kathleen Fanshaw is an sole proprietor health care provider with primary practice located at 121 Mahalani St , Wailuku HI 96793-2528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Iannitello, Kathleen Fanshaw can be contacted via phone (808) 984-2150.Contact Information
Primary practice address
121 Mahalani St
Wailuku HI 96793-2528
Phone: (808) 984-2150
Fax: (808) 984-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD5702 | Hawaii |
Profile Details
| NPI number | 1518026467 |
|---|---|
| LBN Legal business name | Iannitello, Kathleen Fanshaw |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 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 | 1518026467 | NPPES |
| Hawaii | Other | 51655 | ALOHA CARE |
| Hawaii | MEDICAID | 53937204 | ALOHA CARE |
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