Tamamoto, Brent Koichi

Tamamoto, Brent Koichi is an sole proprietor health care provider with primary practice located at 99-080 Kauhale St Suite C-22, Aiea HI 96701-4114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tamamoto, Brent Koichi can be contacted via phone (808) 487-1600.

Contact Information

Primary practice address
99-080 Kauhale St Suite C-22 Aiea HI 96701-4114
Phone: (808) 487-1600
Fax: (808) 487-1601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 14517 Hawaii

Profile Details

NPI number 1114123098
LBN Legal business name Tamamoto, Brent Koichi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Dec 30th, 2013 - about 13 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 1114123098 NPPES
Hawaii MEDICAID 618043

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