Wagner, Duke Elvin

Wagner, Duke Elvin is an individual health care provider with primary practice located at 970 N Kalaheo Ave A204, Kailua HI 96734-1801. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wagner, Duke Elvin can be contacted via phone (808) 254-5468.

Contact Information

Primary practice address
970 N Kalaheo Ave A204 Kailua HI 96734-1801
Phone: (808) 254-5468
Fax: (808) 262-4437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY298 Hawaii

Profile Details

NPI number 1043425341
LBN Legal business name Wagner, Duke Elvin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043425341 NPPES
Hawaii Other 0000003889 HMSA
Hawaii MEDICAID 00461901 HMSA

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