Ross, Doris Gwendolyn
Ross, Doris Gwendolyn is an sole proprietor health care provider with primary practice located at 73 4434 Mamalahoa Hwy , Kailua Kona HI 96740. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ross, Doris Gwendolyn can be contacted via phone (808) 325-3255.Contact Information
Primary practice address
73 4434 Mamalahoa Hwy
Kailua Kona HI 96740
Phone: (808) 325-3255
Fax: (808) 325-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD8129 | Hawaii |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD 8129 | Hawaii |
Profile Details
| NPI number | 1467673251 |
|---|---|
| LBN Legal business name | Ross, Doris Gwendolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 15th, 2010 - about 14 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 | 1467673251 | NPPES |
| Hawaii | Other | 0000007161 | HMSA |
| Hawaii | MEDICAID | 00735801 | HMSA |
| Hawaii | Other | 2881 | HMSA |
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