Fomenko, Mark

Fomenko, Mark is an individual health care provider with primary practice located at 357 Waianuenue Ave , Hilo HI 96720-2439. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Fomenko, Mark can be contacted via phone (808) 589-1829.

Contact Information

Primary practice address
357 Waianuenue Ave Hilo HI 96720-2439
Phone: (808) 589-1829
Fax: (808) 589-2610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1609022912
LBN Legal business name Fomenko, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 2008 - about 18 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.

Request for update

Popular Providers