Fukumoto, Jon
Fukumoto, Jon is an individual health care provider with primary practice located at 1329 Lusitana St Ste 307 , Honolulu HI 96813-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Fukumoto, Jon can be contacted via phone (808) 524-6115.Contact Information
Primary practice address
1329 Lusitana St Ste 307
Honolulu HI 96813-2435
Phone: (808) 524-6115
Fax: (808) 528-1711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD 13701 | Hawaii |
Profile Details
| NPI number | 1477663284 |
|---|---|
| LBN Legal business name | Fukumoto, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477663284 | NPPES |
| Hawaii | Other | 0000262758 | HMSA |
| Hawaii | MEDICAID | 586125-01 | HMSA |
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