Tomishima, Shelly A.

Tomishima, Shelly A. is an individual health care provider with primary practice located at 94-1480 Moaniani St , Waipahu HI 96797-4632. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Tomishima, Shelly A. can be contacted via phone (808) 432-3288.

Contact Information

Primary practice address
94-1480 Moaniani St Waipahu HI 96797-4632
Phone: (808) 432-3288
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY-747 Hawaii

Profile Details

NPI number 1114911450
LBN Legal business name Tomishima, Shelly A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 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 1114911450 NPPES
Hawaii MEDICAID 548597-03
Hawaii MEDICAID 54859705
Hawaii Other 0000250852
Hawaii Other 00A0250852
Hawaii Other 534232

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