Andrus, Jason M

Andrus, Jason M is an individual health care provider with primary practice located at 221 Mahalani Street , Wailuku HI 96793-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Andrus, Jason M can be contacted via phone (808) 244-9056.

Contact Information

Primary practice address
221 Mahalani Street Wailuku HI 96793-2526
Phone: (808) 244-9056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 220851 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 220851 Massachusetts

Profile Details

NPI number 1629148713
LBN Legal business name Andrus, Jason M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Nov 5th, 2009 - 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 1629148713 NPPES
Hawaii MEDICAID 50055505

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