1730473059 NPI number — REHABPRN SERVICES, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730473059 NPI number — REHABPRN SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABPRN SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1730473059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 37252
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96837-0252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-554-2104
Provider Business Mailing Address Fax Number:
808-356-0888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1714 ANAPUNI ST
Provider Second Line Business Practice Location Address:
#301
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-4482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-348-7747
Provider Business Practice Location Address Fax Number:
808-356-0888
Provider Enumeration Date:
06/03/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TANNENHOLZ
Authorized Official First Name:
TARA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
808-348-7747

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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