Maeda, Jennifer

Maeda, Jennifer is an individual health care provider with primary practice located at 1234 Kilauea Ave , Hilo HI 96720-4206. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maeda, Jennifer can be contacted via phone (808) 935-5228.

Contact Information

Primary practice address
1234 Kilauea Ave Hilo HI 96720-4206
Phone: (808) 935-5228
Fax: (808) 969-9117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 576 Hawaii

Profile Details

NPI number 1699853150
LBN Legal business name Maeda, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 21st, 2018 - about 6 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 1699853150 NPPES
Hawaii Other 7786656 UHA MEDICAL
Hawaii Other 253237 UHA MEDICAL
Hawaii MEDICAID 574170-01 UHA MEDICAL
Hawaii Other 778665620 UHA MEDICAL
Hawaii Other H100356 UHA MEDICAL

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