Pediatric Professionals, Inc.
LBN: Pediatric Professionals, Inc.
Pediatric Professionals, Inc. is an health care organization with primary practice located at 1350 S King St Ste 300 , Honolulu HI 96814-2066. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Pediatric Professionals, Inc. can be contacted via phone (808) 593-9944, or through Matthews, Wallace J via phone (808) 593-9944.
Contact Information
Primary practice address
1350 S King St Ste 300
Honolulu HI 96814-2066
Phone: (808) 593-9944
Fax: (808) 593-0565
Website:
Authorized official contact:
Name: Matthews, Wallace J Doctor of Medicine (MD)
Phone: (808) 593-9944
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD4255 | Hawaii |
Profile Details
| NPI number | 1194842674 |
|---|---|
| LBN Legal business name | Pediatric Professionals, Inc. |
| DBA Doing business as | |
| Authorized official | Matthews, Wallace J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194842674 | NPPES |
| Hawaii | Other | 02534679801 | UHA |
| Hawaii | Other | 192509 | UHA |
| Hawaii | Other | 04481 | UHA |
| Hawaii | Other | 00519101 | UHA |
| Hawaii | Other | MD4255-01 | UHA |
| Hawaii | Other | J4489 | UHA |
| Hawaii | MEDICAID | 00519101 | UHA |
| Hawaii | Other | 0000004481 | UHA |
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