Mateo, Annabelle
Mateo, Annabelle is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mateo, Annabelle can be contacted via phone (808) 242-6464.Contact Information
Primary practice address
2180 Main St
Wailuku HI 96793-1666
Phone: (808) 242-6464
Fax: (808) 243-2385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD10493 | Hawaii |
Profile Details
| NPI number | 1699796730 |
|---|---|
| LBN Legal business name | Mateo, Annabelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 9th, 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 | 1699796730 | NPPES |
| Hawaii | Other | 9901768599693B011 | TRICARE CHAMPUS |
| Hawaii | MEDICAID | 49740502 | TRICARE CHAMPUS |
| Hawaii | Other | 839943 | TRICARE CHAMPUS |
| Hawaii | Other | 227108 | TRICARE CHAMPUS |
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