Shimomura, Gregg Atsushi
Shimomura, Gregg Atsushi is an individual health care provider with primary practice located at 99 128 Aiea Heights Drive Suite 504, Aiea HI 96701-3938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shimomura, Gregg Atsushi can be contacted via phone (808) 487-2497.Contact Information
Primary practice address
99 128 Aiea Heights Drive Suite 504
Aiea HI 96701-3938
Phone: (808) 487-2497
Fax: (808) 487-2494
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD6215 | Hawaii |
Profile Details
NPI number | 1538280367 |
---|---|
LBN Legal business name | Shimomura, Gregg Atsushi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1538280367 | NPPES |
Hawaii | MEDICAID | 05906901 | |
Hawaii | Other | 078493 |
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