Watanabe, Ted J.

Watanabe, Ted J. is an individual health care provider with primary practice located at 347 N Kuakini St , Honolulu HI 96817-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Watanabe, Ted J. can be contacted via phone (808) 522-0190.

Contact Information

Primary practice address
347 N Kuakini St Honolulu HI 96817-2306
Phone: (808) 522-0190
Fax: (808) 523-9068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD3504 Hawaii

Profile Details

NPI number 1720042658
LBN Legal business name Watanabe, Ted J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 7th, 2017 - about 9 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 1720042658 NPPES
Hawaii MEDICAID 0001215403
Hawaii Other 0012773
Hawaii Other 300017130
Hawaii Other J012771
Hawaii Other 0012773
Hawaii Other 0012773
Hawaii Other 00J0012771
Hawaii Other 99015769896701B006
Hawaii MEDICAID 0001215402
Hawaii Other 012154-02
Hawaii Other 990157698002
Hawaii Other MD3504
Hawaii Other 012154-03
Hawaii Other 20124380
Hawaii Other 990157698-96817-E006
Hawaii Other 1082145098
Hawaii Other J012771

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