1033377015 NPI number — CHERYL M TAMASHIRO P.T.

Table of content: CHERYL M TAMASHIRO P.T. (NPI 1033377015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033377015 NPI number — CHERYL M TAMASHIRO P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAMASHIRO
Provider First Name:
CHERYL
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033377015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
932 WARD AVE
Provider Second Line Business Mailing Address:
7TH FLOOR
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96814-2131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-381-8947
Provider Business Mailing Address Fax Number:
808-396-6358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
932 WARD AVE
Provider Second Line Business Practice Location Address:
7TH FLOOR
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-381-8947
Provider Business Practice Location Address Fax Number:
808-396-6358
Provider Enumeration Date:
05/27/2008

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: 225100000X , with the licence number:  PT-2841 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 990353213 . This is a "HMAA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com