Jenkins, Tyrie Lee

Jenkins, Tyrie Lee is an individual health care provider with primary practice located at 615 Piikoi St Suite 205, Honolulu HI 96814-3139. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Jenkins, Tyrie Lee can be contacted via phone (808) 591-9911.

Contact Information

Primary practice address
615 Piikoi St Suite 205 Honolulu HI 96814-3139
Phone: (808) 591-9911
Fax: (808) 591-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD5046 Hawaii
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD5046 Hawaii

Profile Details

NPI number 1316903610
LBN Legal business name Jenkins, Tyrie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 3rd, 2017 - about 7 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 1316903610 NPPES
Hawaii MEDICAID 056891-01

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