Tyrie Lee Jenkins, M.D., Inc.

LBN: Tyrie Lee Jenkins, M.D., Inc.
Tyrie Lee Jenkins, M.D., Inc. is an health care organization with primary practice located at 615 Piikoi St Suite 205, Honolulu HI 96814-3116. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tyrie Lee Jenkins, M.D., Inc. can be contacted via phone (808) 591-9911, or through Jenkins, Tyrie Lee via phone (808) 591-9911.

Contact Information

Primary practice address
615 Piikoi St Suite 205 Honolulu HI 96814-3116
Phone: (808) 591-9911
Fax: (808) 591-9909
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Tyrie Lee Doctor of Medicine (MD)
Phone: (808) 591-9911

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD5046 Hawaii

Profile Details

NPI number 1295791135
LBN Legal business name Tyrie Lee Jenkins, M.D., Inc.
DBA Doing business as
Authorized official Jenkins, Tyrie Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 22nd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295791135 NPPES
Hawaii MEDICAID 056891-01

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