Sue, Jeffrey Y

Sue, Jeffrey Y is an individual health care provider with primary practice located at 1481 S King St Suite 202, Honolulu HI 96814-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sue, Jeffrey Y can be contacted via phone (808) 949-0091.

Contact Information

Primary practice address
1481 S King St Suite 202 Honolulu HI 96814-2601
Phone: (808) 949-0091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD5957 Hawaii

Profile Details

NPI number 1790744571
LBN Legal business name Sue, Jeffrey Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 6th, 2011 - about 13 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 1790744571 NPPES
Hawaii Other B004 TRICARE
Hawaii Other MD5957-01 TRICARE
Hawaii Other 00B0029120 TRICARE
Hawaii MEDICAID 02609101 TRICARE

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