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:
Health care specialties
| Specialty | Code | License # | 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.
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