Shiotani, Glenn M

Shiotani, Glenn M is an individual health care provider with primary practice located at 55 Mauilani Pkwy , Wailuku HI 96793-2416. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shiotani, Glenn M can be contacted via phone (808) 243-6050.

Contact Information

Primary practice address
55 Mauilani Pkwy Wailuku HI 96793-2416
Phone: (808) 243-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X 3863 Montana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-14631 Hawaii

Profile Details

NPI number 1649290545
LBN Legal business name Shiotani, Glenn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Sep 11th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649290545 NPPES
Hawaii Other 0000277376 HMSA BILLING NUMBER
Hawaii MEDICAID 620361-02 HMSA BILLING NUMBER

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