Maeda, Jennifer
Maeda, Jennifer is an individual health care provider with primary practice located at 1234 Kilauea Ave , Hilo HI 96720-4206. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Maeda, Jennifer can be contacted via phone (808) 935-5228.Contact Information
Primary practice address
1234 Kilauea Ave
Hilo HI 96720-4206
Phone: (808) 935-5228
Fax: (808) 969-9117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 576 | Hawaii |
Profile Details
| NPI number | 1699853150 |
|---|---|
| LBN Legal business name | Maeda, Jennifer |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 21st, 2018 - about 8 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 | 1699853150 | NPPES |
| Hawaii | Other | 7786656 | UHA MEDICAL |
| Hawaii | Other | 253237 | UHA MEDICAL |
| Hawaii | MEDICAID | 574170-01 | UHA MEDICAL |
| Hawaii | Other | 778665620 | UHA MEDICAL |
| Hawaii | Other | H100356 | UHA MEDICAL |
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