Ishihara, Derrick Keiji

Ishihara, Derrick Keiji is an individual health care provider with primary practice located at 1314 S King St Ste. #1451, Honolulu HI 96814-1956. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ishihara, Derrick Keiji can be contacted via phone (808) 593-2610.

Contact Information

Primary practice address
1314 S King St Ste. #1451 Honolulu HI 96814-1956
Phone: (808) 593-2610
Fax: (808) 591-9420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT - 554 Hawaii

Profile Details

NPI number 1306813639
LBN Legal business name Ishihara, Derrick Keiji
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306813639 NPPES
Hawaii MEDICAID 01161501

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