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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1104927110 | NPPES |
| Hawaii | Other | 0000255125 | HMSA BILLING NUMBER |
| Hawaii | MEDICAID | 572710-01 | HMSA BILLING NUMBER |
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