Reisenauer, Amy K

Reisenauer, Amy K is an sole proprietor health care provider with primary practice located at 1300 N Holopono St Ste 215 , Kihei HI 96753-6945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Reisenauer, Amy K can be contacted via phone (808) 874-3444.

Contact Information

Primary practice address
1300 N Holopono St Ste 215 Kihei HI 96753-6945
Phone: (808) 874-3444
Fax: (808) 874-3443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD-13436 Hawaii

Profile Details

NPI number 1104927110
LBN Legal business name Reisenauer, Amy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Aug 30th, 2019 - about 6 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 1104927110 NPPES
Hawaii Other 0000255125 HMSA BILLING NUMBER
Hawaii MEDICAID 572710-01 HMSA BILLING NUMBER

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