Fonseca, Randy Bryan

Fonseca, Randy Bryan is an sole proprietor health care provider with primary practice located at 622 Hinano St , Hilo HI 96720-4427. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Fonseca, Randy Bryan can be contacted via phone (808) 589-1829.

Contact Information

Primary practice address
622 Hinano St Hilo HI 96720-4427
Phone: (808) 589-1829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1780147074
LBN Legal business name Fonseca, Randy Bryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2019
Last updated Apr 12th, 2019 - about 7 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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