Shields, Hawken
Shields, Hawken is an sole proprietor health care provider with primary practice located at 76-5914 Mamalahoa Hwy , Holualoa HI 96725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shields, Hawken can be contacted via phone (808) 640-0645.Contact Information
Primary practice address
76-5914 Mamalahoa Hwy
Holualoa HI 96725
Phone: (808) 640-0645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-838 | Hawaii |
Profile Details
| NPI number | 1972666105 |
|---|---|
| LBN Legal business name | Shields, Hawken |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Aug 24th, 2011 - about 15 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 | 1972666105 | NPPES |
| Hawaii | MEDICAID | 57177001 |
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