Redick, Jason Bumanglag

Redick, Jason Bumanglag is an sole proprietor health care provider with primary practice located at 91-2128 Old Ft Weaver Rd , Ewa Beach HI 96706-1911. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Redick, Jason Bumanglag can be contacted via phone (808) 589-1829.

Contact Information

Primary practice address
91-2128 Old Ft Weaver Rd Ewa Beach HI 96706-1911
Phone: (808) 589-1829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT-815-0 Hawaii

Profile Details

NPI number 1841718962
LBN Legal business name Redick, Jason Bumanglag
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2017
Last updated Jan 19th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841718962 NPPES
Hawaii MEDICAID 0002276625

Popular Providers