1841523537 NPI number — ELAINE LIGAYA GIERLACH AMOY PHD

Table of content: ELAINE LIGAYA GIERLACH AMOY PHD (NPI 1841523537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841523537 NPI number — ELAINE LIGAYA GIERLACH AMOY PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIERLACH AMOY
Provider First Name:
ELAINE
Provider Middle Name:
LIGAYA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GIERLACH
Provider Other First Name:
ELAINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1841523537
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
46-318 HAIKU RD APT 37
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANEOHE
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96744-3590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-783-3710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
354 ULUNIU ST STE 309
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAILUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96734-2544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-783-3710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)