Tannehill, Doss K

Tannehill, Doss K is an individual health care provider with primary practice located at 752 17Th Ave , Honolulu HI 96816-4102. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Tannehill, Doss K can be contacted via phone (808) 738-5300.

Contact Information

Primary practice address
752 17Th Ave Honolulu HI 96816-4102
Fax: (808) 738-5304
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X DIO-97 Hawaii

Profile Details

NPI number 1518919620
LBN Legal business name Tannehill, Doss K
Credentials BCO
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518919620 NPPES
Hawaii MEDICAID 061401-02
Hawaii Other 84875
Hawaii Other 00614018

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