Omori, Jill Sm
Omori, Jill Sm is an individual health care provider with primary practice located at 95-390 Kuahelani Ave , Mililani HI 96789-1192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Omori, Jill Sm can be contacted via phone (808) 627-3200.Contact Information
Primary practice address
95-390 Kuahelani Ave
Mililani HI 96789-1192
Phone: (808) 627-3200
Fax: (808) 623-7872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD9876 | Hawaii |
Profile Details
| NPI number | 1184694382 |
|---|---|
| LBN Legal business name | Omori, Jill Sm |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184694382 | NPPES |
| Hawaii | MEDICAID | 08836201 | |
| Hawaii | Other | 221846 |
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