Ito, Jennifer S

Ito, Jennifer S is an sole proprietor health care provider with primary practice located at 2226 Liliha St Ste 306 , Honolulu HI 96817-1605. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ito, Jennifer S can be contacted via phone (808) 531-5711.

Contact Information

Primary practice address
2226 Liliha St Ste 306 Honolulu HI 96817-1605
Fax: (808) 531-5722
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD 11442 Hawaii
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11442 Hawaii

Profile Details

NPI number 1841222106
LBN Legal business name Ito, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Feb 10th, 2018 - about 8 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 1841222106 NPPES
Hawaii Other QHC QUEEN'S HEALTH CARE
Hawaii Other 99-0355462 QUEEN'S HEALTH CARE
Hawaii Other 023006 QUEEN'S HEALTH CARE
Hawaii MEDICAID 50109001 QUEEN'S HEALTH CARE
Hawaii Other 880233182 QUEEN'S HEALTH CARE

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