Trockman, Gordon J

Trockman, Gordon J is an individual health care provider with primary practice located at 354 Uluniu Street Suite 410, Kailua HI 96734-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Trockman, Gordon J can be contacted via phone (808) 263-9488.

Contact Information

Primary practice address
354 Uluniu Street Suite 410 Kailua HI 96734-2534
Phone: (808) 263-9488
Fax: (808) 262-5479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD2980 Hawaii

Profile Details

NPI number 1447211842
LBN Legal business name Trockman, Gordon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447211842 NPPES
Hawaii MEDICAID 03754201
Hawaii Other 0000041319
Hawaii Other 0000041319
Hawaii Other 00B0041315
Hawaii MEDICAID 03754202

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