Redenbaugh, Jonathan B.

Redenbaugh, Jonathan B. is an individual health care provider with primary practice located at 55 Maui Lani Pkwy , Wailuku HI 96793-2416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Redenbaugh, Jonathan B. can be contacted via phone (808) 243-6000.

Contact Information

Primary practice address
55 Maui Lani Pkwy Wailuku HI 96793-2416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 045109 Connecticut

Profile Details

NPI number 1366586562
LBN Legal business name Redenbaugh, Jonathan B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 21st, 2022 - about 2 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 1366586562 NPPES
Connecticut MEDICAID D400079343

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