Jahraus, Timothy C

Jahraus, Timothy C is an individual health care provider with primary practice located at 134 Puuhonu Way , Hilo HI 96720-2067. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Jahraus, Timothy C can be contacted via phone (808) 935-1956.

Contact Information

Primary practice address
134 Puuhonu Way Hilo HI 96720-2067
Phone: (808) 935-1956
Fax: (808) 935-7657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD 6551 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6551 Hawaii

Profile Details

NPI number 1023192275
LBN Legal business name Jahraus, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 5th, 2024 - about 2 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 1023192275 NPPES
Hawaii Other 00C005927-3 QUEST HMSA
Hawaii Other 198057 QUEST HMSA
Hawaii MEDICAID 05186401 QUEST HMSA
Hawaii Other C5927-3 QUEST HMSA
Hawaii Other 100003154 QUEST HMSA

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