Blickenstaff, Jacob Wiley

Blickenstaff, Jacob Wiley is an sole proprietor health care provider with primary practice located at 1329 Lusitana St Ste 604 , Honolulu HI 96813-2431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blickenstaff, Jacob Wiley can be contacted via phone (808) 531-1116.

Contact Information

Primary practice address
1329 Lusitana St Ste 604 Honolulu HI 96813-2431
Phone: (808) 531-1116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-20256 Hawaii

Profile Details

NPI number 1487038253
LBN Legal business name Blickenstaff, Jacob Wiley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2015
Last updated Jan 31st, 2022 - about 4 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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