Tanabe, Jon Toshiharu

Tanabe, Jon Toshiharu is an individual health care provider with primary practice located at 1221 Kapiolani Blvd Suite 515, Honolulu HI 96814-3503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tanabe, Jon Toshiharu can be contacted via phone (808) 596-0133.

Contact Information

Primary practice address
1221 Kapiolani Blvd Suite 515 Honolulu HI 96814-3503
Phone: (808) 596-0133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1434 Hawaii

Profile Details

NPI number 1033117429
LBN Legal business name Tanabe, Jon Toshiharu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 8th, 2007 - about 18 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 1033117429 NPPES
Hawaii Other 803865 UNITED CONCORDIA
Hawaii Other 1434 UNITED CONCORDIA
Hawaii MEDICAID 024056-01 UNITED CONCORDIA
Hawaii Other 2674-0 UNITED CONCORDIA

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