Hagino, Timothy H.

Hagino, Timothy H. is an sole proprietor health care provider with primary practice located at 74-517 Honokohau St , Kailua Kona HI 96740-2715. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Hagino, Timothy H. can be contacted via phone (808) 334-4400.

Contact Information

Primary practice address
74-517 Honokohau St Kailua Kona HI 96740-2715
Phone: (808) 334-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD6994 Hawaii
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD-6994 Hawaii

Profile Details

NPI number 1134220221
LBN Legal business name Hagino, Timothy H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Mar 18th, 2024 - about 2 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 1134220221 NPPES
Hawaii Other 00C0065767 HMSA BILLING NUMBER
Hawaii MEDICAID 057111-01 HMSA BILLING NUMBER

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