Tasaki, Mitchell N

Tasaki, Mitchell N is an individual health care provider with primary practice located at 1885 Main St Ste 206, Wailuku HI 96793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tasaki, Mitchell N can be contacted via phone (808) 242-8877.

Contact Information

Primary practice address
1885 Main St Ste 206 Wailuku HI 96793
Fax: (808) 242-1664
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9619 Hawaii

Profile Details

NPI number 1700893559
LBN Legal business name Tasaki, Mitchell N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Oct 17th, 2018 - about 6 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 1700893559 NPPES
Hawaii MEDICAID 008697601

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