Tanaka, Clifford Teruo
Tanaka, Clifford Teruo is an sole proprietor health care provider with primary practice located at 46-001 Kamehameha Highway Suite 312, Kaneohe HI 96744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tanaka, Clifford Teruo can be contacted via phone (808) 247-2255.Contact Information
Primary practice address
46-001 Kamehameha Highway Suite 312
Kaneohe HI 96744
Phone: (808) 247-2255
Fax: (808) 247-7642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5220 | Hawaii |
Profile Details
| NPI number | 1700972452 |
|---|---|
| LBN Legal business name | Tanaka, Clifford Teruo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700972452 | NPPES |
| Hawaii | Other | 00A0021335 | BLUE CROSS/SHIELD |
| Hawaii | MEDICAID | 01939201 | BLUE CROSS/SHIELD |
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