Antonelli, Mary Ann
Antonelli, Mary Ann is an individual health care provider with primary practice located at 30 Aulike St, #301, Kailua HI 96734. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Antonelli, Mary Ann can be contacted via phone (808) 261-8894.Contact Information
Primary practice address
30 Aulike St, #301
Kailua HI 96734
Phone: (808) 261-8894
Fax: (808) 261-8894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD4592 | Hawaii |
Profile Details
| NPI number | 1861443319 |
|---|---|
| LBN Legal business name | Antonelli, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861443319 | NPPES |
| Hawaii | MEDICAID | 016257-02 |
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