Koscelek, Menchie Canda

Koscelek, Menchie Canda is an sole proprietor health care provider with primary practice located at 95-336 Kaloapau St Apt 162 , Mililani HI 96789-1215. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Koscelek, Menchie Canda can be contacted via phone (808) 554-2205.

Contact Information

Primary practice address
95-336 Kaloapau St Apt 162 Mililani HI 96789-1215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1134630221
LBN Legal business name Koscelek, Menchie Canda
Credentials MEDICAL TECHNOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2017
Last updated Jun 16th, 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 1134630221 NPPES
Hawaii MEDICAID 900773473

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