Ikeno, Jason Hanji

Ikeno, Jason Hanji is an individual health care provider with primary practice located at 94-216 Farrington Hwy B2-309, Waipahu HI 96797-1922. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ikeno, Jason Hanji can be contacted via phone (808) 676-1520.

Contact Information

Primary practice address
94-216 Farrington Hwy B2-309 Waipahu HI 96797-1922
Fax: (808) 676-1921
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DT-1819 Hawaii

Profile Details

NPI number 1013045954
LBN Legal business name Ikeno, Jason Hanji
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 19 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 1013045954 NPPES
Hawaii MEDICAID 24459501

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