Takata, Jayson H

Takata, Jayson H is an individual health care provider with primary practice located at 1329 Lusitana St Suite 802, Honolulu HI 96813-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Takata, Jayson H can be contacted via phone (808) 538-7700.

Contact Information

Primary practice address
1329 Lusitana St Suite 802 Honolulu HI 96813-2429
Phone: (808) 538-7700
Fax: (808) 538-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD12376 Hawaii

Profile Details

NPI number 1922101757
LBN Legal business name Takata, Jayson H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 9th, 2007 - about 19 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 1922101757 NPPES
Hawaii MEDICAID 538465

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