Marumoto, Jay M

Marumoto, Jay M is an individual health care provider with primary practice located at 1401 S Beretania St Suite 750, Honolulu HI 96814-1870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Marumoto, Jay M can be contacted via phone (808) 536-2261.

Contact Information

Primary practice address
1401 S Beretania St Suite 750 Honolulu HI 96814-1870
Phone: (808) 536-2261
Fax: (808) 538-3957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD7568 Hawaii

Profile Details

NPI number 1407968365
LBN Legal business name Marumoto, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 29th, 2014 - about 12 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 1407968365 NPPES
Hawaii MEDICAID 07785702

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