Nicol, Donald Edward

Nicol, Donald Edward is an sole proprietor health care provider with primary practice located at 549 Halemaumau St , Honolulu HI 96821-2150. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nicol, Donald Edward can be contacted via phone (808) 373-2164.

Contact Information

Primary practice address
549 Halemaumau St Honolulu HI 96821-2150
Phone: (808) 373-2164
Fax: (808) 377-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 174400000X Hawaii

Profile Details

NPI number 1053367284
LBN Legal business name Nicol, Donald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jan 22nd, 2013 - about 13 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 1053367284 NPPES
Hawaii Other 1053367284 TRI-CARE
Hawaii Other 1053367284 TRI-CARE
Hawaii Other 04242601 TRI-CARE
Hawaii MEDICAID 04242601 TRI-CARE
Hawaii Other H0000BDGNM TRI-CARE
Hawaii Other 0000046870 TRI-CARE

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