Ly, Micki N
Ly, Micki N is an individual health care provider with primary practice located at 89 Hookele St Suite 101, Kahului HI 96732-3513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Ly, Micki N can be contacted via phone (808) 877-6526.Contact Information
Primary practice address
89 Hookele St Suite 101
Kahului HI 96732-3513
Phone: (808) 877-6526
Fax: (808) 871-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD 12031 | Hawaii |
Profile Details
| NPI number | 1346299435 |
|---|---|
| LBN Legal business name | Ly, Micki N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346299435 | NPPES |
| Hawaii | MEDICAID | 508161 |
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