Kang, Mark
Kang, Mark is an sole proprietor health care provider with primary practice located at 1301 Punchbowl St Qec Clinic, Honolulu HI 96813-2421. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kang, Mark can be contacted via phone (808) 691-4970.Contact Information
Primary practice address
1301 Punchbowl St Qec Clinic
Honolulu HI 96813-2421
Phone: (808) 691-4970
Fax: (808) 691-4614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD13439 | Hawaii |
Profile Details
| NPI number | 1841243177 |
|---|---|
| LBN Legal business name | Kang, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 10th, 2012 - about 13 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 | 1841243177 | NPPES |
| Hawaii | MEDICAID | 570045-03 |
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