Smith, John

Smith, John is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1666. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, John can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1666
Phone: (808) 242-6464
Fax: (808) 984-7432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT348 Hawaii

Profile Details

NPI number 1851303762
LBN Legal business name Smith, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 8th, 2008 - about 16 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 1851303762 NPPES
Hawaii Other 010645 HMSA, HMSA QUEST, 65CP
Hawaii Other 0348 HMSA, HMSA QUEST, 65CP
Hawaii Other 330043 HMSA, HMSA QUEST, 65CP

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