Tamamoto, Brent Koichi
Tamamoto, Brent Koichi is an sole proprietor health care provider with primary practice located at 99-080 Kauhale St Suite C-22, Aiea HI 96701-4114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tamamoto, Brent Koichi can be contacted via phone (808) 487-1600.Contact Information
Primary practice address
99-080 Kauhale St Suite C-22
Aiea HI 96701-4114
Phone: (808) 487-1600
Fax: (808) 487-1601
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 14517 | Hawaii |
Profile Details
NPI number | 1114123098 |
---|---|
LBN Legal business name | Tamamoto, Brent Koichi |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2007 |
Last updated | Dec 30th, 2013 - about 11 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 | 1114123098 | NPPES |
Hawaii | MEDICAID | 618043 |
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