Dettweiler, Elizabeth J.

Dettweiler, Elizabeth J. is an individual health care provider with primary practice located at 45-602 Kamehameha Hwy , Kaneohe HI 96744-2017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dettweiler, Elizabeth J. can be contacted via phone (808) 432-3800.

Contact Information

Primary practice address
45-602 Kamehameha Hwy Kaneohe HI 96744-2017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-135 Hawaii

Profile Details

NPI number 1962584011
LBN Legal business name Dettweiler, Elizabeth J.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962584011 NPPES
Hawaii MEDICAID 530859-01

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