Maldonado Santiago, David

Maldonado Santiago, David is an individual health care provider with primary practice located at 590 Moffet St , Jbphh HI 96853-5168. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Maldonado Santiago, David can be contacted via phone (808) 448-4500.

Contact Information

Primary practice address
590 Moffet St Jbphh HI 96853-5168
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1134759715
LBN Legal business name Maldonado Santiago, David
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Mar 17th, 2021 - about 3 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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