Matsumoto, Brent H.
Matsumoto, Brent H. is an individual health care provider with primary practice located at 94-1480 Moaniani St , Waipahu HI 96797-4632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matsumoto, Brent H. can be contacted via phone (808) 432-3100.Contact Information
Primary practice address
94-1480 Moaniani St
Waipahu HI 96797-4632
Phone: (808) 432-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-12511 | Hawaii |
Profile Details
| NPI number | 1750462206 |
|---|---|
| LBN Legal business name | Matsumoto, Brent H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | May 27th, 2021 - about 5 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 | 1750462206 | NPPES |
| Hawaii | MEDICAID | 540329-01 | |
| Hawaii | Other | 0000242784 |
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